IndividualActive
Nicollette Kennedy
NPI 1578303574 · Prevention Professional · Tahlequah, OK
Nicollette Kennedy is a Prevention Professional provider in Tahlequah, OK (NPI 1578303574).
Provider details
- NPI number
- 1578303574
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- K083179009 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 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
16414 W 760 Rd
Tahlequah, OK 74464-1675
Phone: (918) 822-1191
Approximate (ZIP-level) locationGet directions
Mailing address
16414 W 760 Rd
Tahlequah, OK 74464-1675
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Nicollette Kennedy's NPI number?
- Nicollette Kennedy's National Provider Identifier (NPI) is 1578303574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicollette Kennedy's specialty?
- Nicollette Kennedy is listed in the NPPES registry with a primary specialty of Prevention Professional (Other Service Providers).
- Where is Nicollette Kennedy located?
- Nicollette Kennedy's practice location on file with NPPES is 16414 W 760 Rd, Tahlequah, OK 74464-1675.
- What is Nicollette Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Nicollette Kennedy is (918) 822-1191.
- Is Nicollette Kennedy's NPI active?
- Yes — Nicollette Kennedy's NPI (1578303574) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.