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NICOLLETTE KENNEDY
NPI 1578303574
Prevention Professional in Tahlequah, OK

Active since May 28, 2024
16414 W 760 RD, TAHLEQUAH, OK 74464(918) 822-1191 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicollette Kennedy NPPES

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

NICOLLETTE KENNEDY (NPI 1578303574) is an individual prevention professional provider in Tahlequah, Oklahoma, licensed in Oklahoma (K083179009) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1578303574
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameNICOLLETTE KENNEDY
Location Address16414 W 760 RDTahlequah, OK 74464-1675
Mailing Address16414 W 760 RdTahlequah, OK 74464-1675 · (918) 822-1191
Phone(918) 822-1191
Sole ProprietorNo
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1578303574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in OK · K083179009
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
16414 W 760 RD, Tahlequah, OK 74464
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Other Providers at the Same Location NPPES 18

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

CARLA CROW
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
JEROMY MICHAEL KLINGER MS
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 537-4482
TIMOTHY WAYNE FOREMAN
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
BRITTANY CHEATER
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
ANGEL LEA WOLFE
Peer Specialist
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9099
SARA KAY PERRY LMSW
Social Worker (Clinical)
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9009
HEATHER ANNE JONES DO
Psychiatry & Neurology (Psychiatry)
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 561-8428
ECHOTA BEHAVIORAL HEALTH SERVICES, LLC
Community/Behavioral Health
16414 W 760 RD
TAHLEQUAH, OK 74464
Cherokee County (918) 871-2795

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 Nicollette Kennedy's NPI number?

The NPI number for Nicollette Kennedy is 1578303574. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Nicollette Kennedy located?

Nicollette Kennedy practices at 16414 W 760 Rd, Tahlequah, OK 74464. The listed phone number is (918) 822-1191.

What is Nicollette Kennedy's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Nicollette Kennedy was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.