KIMBERLY MICHELL SCAGGS AGACNP NPI 1144077553

NPI Information

  • NPI: 1144077553
  • Provider Name: KIMBERLY MICHELL SCAGGS, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 430 N MONTE VISTA ST
    ADA, OK
    ZIP 74820
  • Phone: (580) 332-2323

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NPI Details

Kimberly Michell Scaggs, AGACNP is an acute care nurse practitioner in Ada, OK with 3 years of experience. Kimberly Michell Scaggs, AGACNP NPI is 1144077553. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

430 N MONTE VISTA ST
ADA, OK
ZIP 74820-657
Phone: (580) 332-2323
Fax: (580) 421-1384

The NPI 1144077553 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 5/2/2024 and was last updated on 5/2/2024.

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
1363LA2100XNurse PractitionerAcute Care217660OKLAHOMAYes

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: 11/21/2025

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