NIKI S LEWIS-WYATT (NPI# 1922008572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922008572 |
| Entity Type | Individual |
| Full Name | NIKI S LEWIS-WYATT |
| Other Name | NIKI S LEWIS |
| Credential | PAC |
| Practice Address |
221 S Grand Ave Cherokee OK 73728 |
| Mailing Address |
221 S Grand Ave Cherokee OK 73728-2029 |
| Practice Telephone | 5803076263 |
| Practice Fax Number | 5806038602 |
| Mailing Telephone | 5803076263 |
| Mailing Fax Number | 5806038602 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
758 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100132420C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 S Grand Ave, Cherokee, OK 73728 | 5805963516 | 5805962320 |
| Street Address |
221 S GRAND AVE |
| City | CHEROKEE |
| State | OK |
| Zip Code | 73728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025658 | Grace Dpc | Family Medicine | 221 S Grand Ave, Cherokee, OK 73728-2029 | 2018-12-27 |
| 1134104128 | Integris Rural Health Inc | Family Medicine | 221 S Grand Ave, Cherokee, OK 73728-2029 | 2005-12-13 |
| 1326040817 | Bass Memorial Baptist Hospital | Family Medicine | 221 S Grand Ave, Cherokee, OK 73728-2029 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881876738 | Great Salt Plains Health Center, Inc. | Specialist | 405 S. Oklahoma Ave, Cherokee, OK 73728 | 2007-12-03 |
| 1861422016 | Jana Kay Oister | Dentist | 204 Southgate Addn, Cherokee, OK 73728 | 2006-07-04 |
| 1013964865 | Caring Company | Home Health | 217 S. Grand, Cherokee, OK 73728-0186 | 2006-05-27 |
| 1972687168 | Carl W. Newton, O D, P C | Optometrist | 1504 S. Grand, Pob 264, Cherokee, OK 73728-0264 | 2006-10-24 |
| 1376641837 | Alfalfa County Ems | Ambulance | 121 N Grand Ave, Cherokee, OK 73728-1515 | 2006-09-20 |
| 1952459950 | Hawkins Pharmacy PC | Durable Medical Equipment & Medical Supplies | 121 S Grand Ave, Cherokee, OK 73728-2028 | 2007-01-08 |
| 1134737695 | Damon Hawkins | Pharmacist | 121 S Grand Ave, Cherokee, OK 73728-2028 | 2020-07-21 |
| 1164993846 | Adrienne Wessels | Pharmacist | 121 S Grand Ave, Cherokee, OK 73728-2028 | 2018-12-06 |
| 1154309466 | Keenan L Ferguson | Family Medicine | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 | 2006-01-06 |
| 1619433547 | Taylor Renea Carson | Physician Assistant | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 | 2019-02-15 |
| Find all providers in zip 73728 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881783728 | Shawn D. Taylor | Physician Assistant | 1 Hospital Rd, Cherokee Indian Hospital, Cherokee, NC 28719 | 2006-10-11 |
| 1447220355 | Brenda Jean Deroo | Physician Assistant | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| 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.