KELLY NIX (NPI# 1699132126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699132126 |
| Entity Type | Individual |
| Full Name | KELLY NIX |
| Credential | RN, BS, CCM |
| Practice Address |
400 N Broadway St Moore OK 73160-4812 |
| Practice Telephone | 4057354650 |
| Practice Fax Number | 4057932708 |
| Mailing Telephone | 4057354650 |
| Mailing Fax Number | 4057932708 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
61421 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134229735 | Kelly Ann Nix | Podiatrist | 15047 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2054 | 2006-09-24 |
| 1083215883 | Kelly Nix | Case Manager/Care Coordinator | 2178 Victor St, Aurora, CO 80045-7440 | 2020-11-06 |
| 1295027993 | Kelly S Nix | Dental Hygienist | 1000 Fm 300, Levelland, TX 79336-6235 | 2011-05-12 |
| 1386659928 | Kelly Brumbelow Nix | Nurse Practitioner | 3825 Medical Park Dr, Ste 201, Austell, GA 30106-6831 | 2006-07-30 |
| Street Address |
400 N BROADWAY ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235486580 | Avery Jones | Counselor | 400 N Broadway St, Moore, OK 73160-4812 | 2012-08-06 |
| 1659825024 | Sandra Hibbert | Registered Nurse | 400 N Broadway St, Moore, OK 73160-4812 | 2016-08-15 |
| 1093182339 | Laurence Burton Gray Jr. | Counselor | 400 N Broadway St, Moore, OK 73160-4812 | 2015-08-21 |
| 1376969063 | Derek Kielkopf | Counselor | 400 N Broadway St, Moore, OK 73160-4812 | 2014-03-05 |
| 1609117274 | Ashley Renee House | Counselor | 400 N Broadway St, Moore, OK 73160-4812 | 2013-03-07 |
| 1114274206 | Amy Morgan | Counselor | 400 N Broadway St, Moore, OK 73160-4812 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1265514616 | Theresa Marie Hanus | Registered Nurse | 250 Henry St, Delaware, OK 43015 | 2006-10-19 |
| 1720685175 | Jesse Misthaven | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-07 |
| 1699372482 | Christine Reynold | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-05 |
| 1417503038 | Amy Melissa Fleming | Registered Nurse | 1707 Professional Cir, Yukon, OK 73099-6470 | 2019-08-11 |
| 1427613488 | Robin Marie Lacy | Registered Nurse | 1707 Professional Cir, Yukon, OK 73099-6470 | 2019-05-06 |
| 1558725713 | Ashley Lee | Registered Nurse | 3400 Deskin Dr, Norman, OK 73069-8295 | 2016-04-13 |
| 1255704821 | Lisa Lumry | Registered Nurse | 3400 Deskin Dr, Norman, OK 73069-8295 | 2015-11-04 |
| 1669883781 | Connie Jo Johnson | Registered Nurse | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.