KELLY NIX RN, BS, CCM
NPI 1699132126
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Moore, OK

Active since January 28, 2016
400 N BROADWAY ST, MOORE, OK 73160(405) 735-4650(405) 793-2708 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Nix Rn, Bs, Ccm NPPES

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

KELLY NIX RN, BS, CCM (NPI 1699132126) is an individual psychiatric/mental health, child & adolescent provider in Moore, Oklahoma, licensed in Oklahoma (61421) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1699132126
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameKELLY NIXCredential: RN, BS, CCM
Location Address400 N BROADWAY STMoore, OK 73160-4812
Mailing Address400 N Broadway StMoore, OK 73160-4812 · (405) 735-4650 · Fax (405) 793-2708
Fax(405) 793-2708
Sole ProprietorYes
Enumeration DateJanuary 28, 2016
Last NPPES UpdateJanuary 29, 2016
NPI 1699132126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License Licensed in OK · 61421
400 N BROADWAY ST, Moore, OK 73160

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Counselor (Mental Health)
400 N BROADWAY ST
MOORE, OK 73160
Counselor
400 N BROADWAY ST
MOORE, OK 73160
Registered Nurse
400 N BROADWAY ST
MOORE, OK 73160

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 Kelly Nix's NPI number?

The NPI number for Kelly Nix is 1699132126. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Kelly Nix located?

Kelly Nix practices at 400 N Broadway St, Moore, OK 73160. The listed phone number is (405) 735-4650.

What is Kelly Nix's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Kelly Nix was last updated on January 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.