Kimberly A Smallwood, APRN | |
2617 S Elm Pl, Broken Arrow, OK 74012 | |
(918) 455-4541 | |
(918) 455-0414 |
Full Name | Kimberly A Smallwood |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2617 S Elm Pl, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538670690 | NPI | - | NPPES |
200739390A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 91402 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scissortail Healthcare Llc | Tulsa, OK | Home health agency |
Hillcrest Hospital South | Tulsa, OK | Hospital |
Hillcrest Medical Center | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ahs Oklahoma Physician Group Llc | 9436122496 | 302 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Mailing Address | Practice Location Address |
---|---|
Kimberly A Smallwood, APRN 2617 S Elm Pl, Broken Arrow, OK 74012-7850 Ph: (918) 455-4541 | Kimberly A Smallwood, APRN 2617 S Elm Pl, Broken Arrow, OK 74012 Ph: (918) 455-4541 |
Carmen Kay Oakes, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012 Phone: 918-237-9627 | |
Makeda Gant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-764-9300 Fax: 918-764-9275 | |
Mrs. Kristi Gene Sager, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-693-0834 | |
Ms. Kyndal Renee' Stevens, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-0414 | |
Ms. Mary Constance Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-2952 | |
Ms. Jamie Larie Kitchens, DNP, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-455-0414 | |
Mrs. Christina Lou Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 N 9th St, Broken Arrow, OK 74012 Phone: 918-355-7900 Fax: 918-355-7929 |