Registry data as of Aug 27, 2026

Nicollette Kennedy

Prevention Professional · Tahlequah, OK

Nicollette Kennedy is a prevention professional with a practice address in Tahlequah, Oklahoma, and NPI 1578303574, issued on May 28, 2024. Check the license (Oklahoma K083179009, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, loaded Aug 27, 2026 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1578303574
Name
Nicollette Kennedy
Primary taxonomy
Prevention Professional 405300000X
License number
K083179009 OK
Self-reported in NPPES; status is on the state search
Practice location
16414 W 760 RD, Tahlequah, OK 74464
Phone
(918) 822-1191
Enumerated
May 28, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 16414 W 760 RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brittany CheaterPeer Specialist1134874274
  2. Carla CrowPeer Specialist1033864178
  3. Diana FairchildPeer Specialist1932967023
  4. Timothy ForemanPeer Specialist1114613973
  5. Ciarra GarvinPeer Specialist1629785662
  6. Heather Jones, DOPsychiatry Physician1396107066

Verify Nicollette Kennedy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
    Search for license K083179009    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Find the Oklahoma license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Prevention Professional providers in Oklahoma

There are 7 prevention professional records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 7 in Oklahoma → Every provider in Tahlequah →

Other prevention professional records in Oklahoma

  1. Nancy Cavner, DPP LIFE COACHArdmore, OK1336610708
  2. Kayla Jones, LPNSapulpa, OK1538991120
  3. Amara Lett, DR.Moore, OK1114785458
  4. Ancelma MachadoLawton, OK1932869872
  5. Erica PorterTulsa, OK1649703349
  6. Brenda StacyPotesu, OK1356889745

Common questions

What is Nicollette Kennedy's NPI number?

Nicollette Kennedy's National Provider Identifier (NPI) is 1578303574, issued on May 28, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Nicollette Kennedy located?

The NPPES record lists a practice address at 16414 W 760 RD, Tahlequah, OK, 74464. Phone: (918) 822-1191. Providers update this record themselves, so call before visiting.

How can I verify Nicollette Kennedy's license?

NPPES lists Oklahoma license number K083179009, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Built from the named public files by PlainDoctor's data pipeline (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments, the HHS-OIG exclusion list) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.