MRS. KELLE DAWN GASKE APRN CCNS-P CDE NPI 1588822472

NPI Information

NPI: 1588822472
Provider Name: MRS. KELLE DAWN GASKE, APRN, CCNS-P, CDE
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1200 N PHILLIPS AVE STE 4500
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6764
Get Directions

MRS. Kelle Dawn Gaske, APRN, CCNS-P, CDE is a pediatrics clinical nurse specialist in Oklahoma City, OK with 16 years of experience. MRS. Kelle Dawn Gaske, APRN, CCNS-P, CDE NPI is 1588822472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N PHILLIPS AVE STE 4500
OKLAHOMA CITY, OK
ZIP 73104-600
Phone: (405) 271-6764
Fax: (405) 271-3093

The NPI 1588822472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 12/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0200X	Clinical Nurse Specialist	Pediatrics	R0068098	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1588822472	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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