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Kami Sue Puckett , RN

Registered Nurse β€’ Jay, OK

Active NPI 1952888216 Individual Practitioner Female Practitioner
Practice location in NPPES

859 E Melton Dr
Jay, OK 743462704

Call 9182531700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

859 E Melton Dr

Jay, OK 743462704

Telephone 9182531700

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jay and Oklahoma

12 active clinicians are listed under Registered Nurse with a practice address in Jay, OK (1,457 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jay

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-23
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OK R0134475

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OK 65518

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1578172284

Doctor of Optometry

Dr. Calin Kirk , MD

Family Medicine

NPI 1255718607

Doctor of Medicine (M.D.)

Amanda May , CNP

Nurse Practitioner - Family

NPI 1063930386

Certified Nurse Practitioner

NPI 1649566720

Doctor of Medicine (M.D.), Master of Public Health

NPI 1407599400

Doctor of Osteopathic Medicine (D.O.)

Jonathan White , PA-C

Physician Assistant

NPI 1730529371

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 23, 2021

Registered at 859 E MELTON DR, JAY, OK 743462704 (Tel: 9182531700)

πŸ“
Updated Business Mailing Address April 23, 2021

Registered at 859 E MELTON DR, JAY, OK 743462704 (Tel: 9182531740)

πŸ‘€
Provider Name / Credentials Updated April 23, 2021

Recorded as KAMI PUCKETT, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2021

Registered Nurse (license number reported to NPPES: OK R0134475)

βœ…
NPI Profile Active July 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2018

Registered at 405 E EXCELSIOR AVE, VINITA, OK 74301 (Tel: 8007223611)

πŸ“
Business Mailing Address (Initial Record) July 19, 2018

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2018

Recorded as KAMI WILLYARD, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Licensed Practical Nurse (license number reported to NPPES: OK 65518)

🟒
Initial NPI Registration & Enumeration July 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952888216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2018
Last Update: April 23, 2021
Sole Proprietor: No

Mailing Address

859 E Melton Dr

Jay, OK 743462704

Phone: 9182531740

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.