Active NPI
Native Wellness LLC
- Clinic/Center
- Sulphur, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NATIVE WELLNESS LLC
- Practice address
- 1432 W Broadway Ave
Sulphur, OK 73086-4216 - Phone
- (580) 359-0597
- Fax
- (580) 203-3241
- NPI assigned
- Oct 15, 2025
- Last updated
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakrista O'Dell, RN
- Title
- Member / Owner
- Phone
- (580) 618-1109
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
1432 W Broadway Ave
Sulphur, OK 73086-4216
Mailing address
410 E Tulsa Ave
Sulphur, OK 73086-2845
Phone (580) 359-0597
Other practice location 1
401 S Coltrane Rd Ste 280
Edmond, OK 73034-6722
Phone (580) 359-0597
National Provider Directory
National Provider DirectoryLocations
1432 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-6630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nutrition Education Nutritionist
- Sulphur, OK
- NPI 1427630961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1053287029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E TULSA AVE",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730862845",
"telephone_number": "580-359-0597",
"fax_number": "580-203-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 W BROADWAY AVE",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730864216",
"telephone_number": "580-359-0597",
"fax_number": "580-203-3241"
}
],
"practiceLocations": [
{
"address_1": "401 S Coltrane Rd Ste 280",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730346722",
"country_code": "US",
"telephone_number": "580-359-0597",
"fax_number": "580-203-3241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIVE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "O'DELL",
"authorized_official_first_name": "LAKRISTA",
"authorized_official_title_or_position": "MEMBER / OWNER",
"authorized_official_telephone_number": "580-618-1109",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.