KATHERYN NOEL VANDIVER APRN
NPI 1235481771
Nurse Practitioner - Family in Oklahoma City, OK

Active since October 08, 2012
2100 SW 119TH ST, OKLAHOMA CITY, OK 73170(405) 691-1041(405) 378-3480 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Jun 17, 2016 (2 updates tracked since 2016).

About Katheryn Noel Vandiver Aprn NPPES

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

KATHERYN NOEL VANDIVER APRN (NPI 1235481771) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (88767) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1235481771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERYN NOEL VANDIVERCredential: APRN
Location Address2100 SW 119TH STOklahoma City, OK 73170-3437
Mailing Address2100 Sw 119th StOklahoma City, OK 73170-3437 · (405) 691-1041 · Fax (405) 378-3480
Fax(405) 378-3480
Sole ProprietorYes
Enumeration DateOctober 8, 2012
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1235481771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 88767
2100 SW 119TH ST, Oklahoma City, OK 73170

Other Names 1

Former Name (1)Katheryn Noel Kenemer Aprn

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.

Pharmacy
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170
Nurse Practitioner (Family)
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170
Nurse Practitioner (Primary Care)
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170
Nurse Practitioner (Family)
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170

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 Katheryn Vandiver's NPI number?

The NPI number for Katheryn Vandiver is 1235481771. It was assigned to this individual provider in the NPPES registry on October 8, 2012. The provider is also known as Katheryn Noel Kenemer Aprn.

Where is Katheryn Vandiver located?

Katheryn Vandiver practices at 2100 SW 119th St, Oklahoma City, OK 73170. The listed phone number is (405) 691-1041.

What is Katheryn Vandiver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katheryn Vandiver was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.