Organization Active NPI

JP Fitness Health and Travel

  • Adult Health Nurse Practitioner
  • Sallisaw, OK
National Provider Identifier
1053247452
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
JP FITNESS HEALTH AND TRAVEL
Practice address
103 W Choctaw Ave
Sallisaw, OK 74955-4416
Phone
(918) 271-6058
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Pettit, APRNNPI 1114599081
Title
Owner
Phone
(918) 315-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

103 W Choctaw Ave
Sallisaw, OK 74955-4416

Mailing address

103 W Choctaw Ave
Sallisaw, OK 74955-4416
Phone (918) 271-6058

National Provider Directory

National Provider Directory

Locations

103 W Choctaw Ave
Sallisaw, OK 74955
Phone (918) 271-6058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1053247452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554416",
            "telephone_number": "918-271-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554416",
            "telephone_number": "918-271-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP FITNESS HEALTH AND TRAVEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-315-1595",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.