KATHY EDDY M.S.
NPI 1033667209
Student in an Organized Health Care Education/Training Program in Chickasha, OK

Q: What is Kathy Eddy's NPI number?

The NPI number for Kathy Eddy is 1033667209. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Q: What is Kathy Eddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Eddy was last updated on September 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2016PECOS EnrolledAccepts Medicare Assignment

804 W CHOCTAW AVE, CHICKASHA, OK 73018(405) 222-0622 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kathy Eddy M.s. NPPES

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

KATHY EDDY M.S. (NPI 1033667209) is an individual student in an organized health care education/training program in Chickasha, Oklahoma and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033667209

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHY EDDYCredential: M.S.

Location Address804 W CHOCTAW AVEChickasha, OK 73018-2310

Mailing Address804 W Choctaw AveChickasha, OK 73018-2310 · (405) 222-0622

Phone(405) 222-0622

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 16, 2016

✔ NPI 1033667209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

804 W CHOCTAW AVE, Chickasha, OK 73018

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy Eddy M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446600829

PECOS Enrollment IDI20231227002151

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. NATHAN RAY WILSON C.M.A.

Counselor (Mental Health)