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DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
NPI 1003227414
Clinic/Center - Primary Care in Edmond, OK

Active since May 20, 2014CLIA 37D2091257 · Waiver
3801 NW 166TH ST STE 4, EDMOND, OK 73012(405) 359-1122(405) 359-1100 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deer Creek Family Healthcare And Wellness Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC (NPI 1003227414) is a healthcare organization registered as a primary care in Edmond, Oklahoma and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through February 9, 2027, maintains a secondary practice location in Cashion, and lists Kim Knox, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1003227414
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
Location Address3801 NW 166TH ST STE 4Edmond, OK 73012-9279
Mailing Address3801 Nw 166th St Ste 4Edmond, OK 73012-9279 · (405) 359-1122 · Fax (405) 359-1100
Phone(405) 359-1122
Fax(405) 359-1100
Organization SubpartNo
Authorized OfficialKim KnoxNurse Practitioner / Owner · (405) 812-8208
Enumeration DateMay 20, 2014
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1003227414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3801 NW 166TH ST STE 4, Edmond, OK 73012
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Secondary Practice Location 1

Location 1319 W Buena VistaCashion, OK 73016 · Phone (405) 359-1122 · Fax (405) 359-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2091257

Deer Creek Family Healthcare And Wellness Clinic · Edmond, OK
Active · expires Feb 9, 2027
CLIA Number37D2091257
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorKimberly Allen
Laboratory Phone(405) 359-1122
Laboratory LocationDeer Creek Family Healthcare And Wellness Clinic3801 NW 166th St, Ste 4, Edmond, OK 73012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER A. KELLY, LCSW, LLC
Social Worker (Clinical)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 412-6215
KIMBERLY MCCOY APRN
Nurse Practitioner (Family)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 359-1122
KIM B. KNOX NP
Nurse Practitioner
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 359-1122
JENNIFER ANN KELLY LCSW
Counselor (Professional)
3801 NW 166TH ST STE 4
EDMOND, OK 73012
Oklahoma County (405) 412-6215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deer Creek Family Healthcare And Wellness Clinic LLC's NPI number?

The NPI number for Deer Creek Family Healthcare And Wellness Clinic LLC is 1003227414. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Deer Creek Family Healthcare And Wellness Clinic LLC located?

Deer Creek Family Healthcare And Wellness Clinic LLC is located at 3801 NW 166th St Ste 4, Edmond, OK 73012. The listed phone number is (405) 359-1122.

What is Deer Creek Family Healthcare And Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Deer Creek Family Healthcare And Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2091257) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deer Creek Family Healthcare And Wellness Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Deer Creek Family Healthcare And Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deer Creek Family Healthcare And Wellness Clinic LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.