Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Etter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770257537

Destiny Etter is a Physician Assistant in Cherokee, Oklahoma. Qualified in 2023, 3 years ago. Practices with Great Salt Plains Health Center Inc, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2021
Specialties on file
2

Practice location Address checks out

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone: (580) 596-2800
Fax: (580) 596-2805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770257537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address1111 W 17th St, Tulsa, OK 74107-1886

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Great Salt Plains Health Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare