IndividualActive
Krisshelle Phelps, LVN
NPI 1124806443 · Licensed Practical Nurse · Tahlequah, OK
Provider details
- NPI number
- 1124806443
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 175775 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone: (405) 583-7833
Street-level locationGet directions
Mailing address
204 N Pecan St
Clarksville, TX 75426-3013
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.