| NPI | 1194723239 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-12 |
| Last Updated | 2021-09-25 |
| Mailing Address | 1603 Hunters Path Edmond, OK 73034-1627 United States Phone: (405) 919-7570 | Fax: (405) 256-9748 📍 View Map |
| Primary Practice Address | 105 E Industrial Rd Ste B Guthrie, OK 73044-6971 United States Phone: (405) 919-7570 | Fax: (405) 256-9748 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 200057880A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | OK | R0074528 |
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About NPI 1194723239
Ketti Lynn Eddy APRN-CNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194723239. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Guthrie, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194723239?
NPI 1194723239 belongs to Ketti Lynn Eddy APRN-CNP, a Nurse Practitioner, Family in Guthrie, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194723239 active?
The current status of NPI 1194723239 in the NPPES registry is Active. The record was last updated on 2021-09-25.
What specialty is NPI 1194723239?
NPI 1194723239 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194723239?
You can verify NPI 1194723239 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194723239?
The primary practice address on file for NPI 1194723239 is 105 E Industrial Rd Ste B, Guthrie, OK 73044-6971. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194723239 issued?
NPI 1194723239 was first issued (enumerated) on 2005-07-12. The NPPES record was last updated on 2021-09-25.
Practice Location Map
Ketti Lynn Eddy is located at 105 E Industrial Rd Ste B, Guthrie, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ketti Lynn Eddy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1194723239. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | R0074528 | OK |