Telos Wellness and Vitality LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TELOS WELLNESS AND VITALITY LLC

Practice address

701 N Mustang Rd Ste B
Yukon, OK 73099-5671

Phone

(405) 467-4985

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Danielle Moss, APRN, CNP

Title

Provider

Phone

(405) 467-4985

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacoby Gray, PHARD

  • Pharmacist
  • El Reno, OK
  • NPI 1003432337
  NPD

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1073463733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MUSTANG RD STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995671",
            "telephone_number": "405-467-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MUSTANG RD STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995671",
            "telephone_number": "405-467-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS WELLNESS AND VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-467-4985",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Ray Taylor, D.D.S.
• Erica Taylor
• Levi Jack Taylor
• Stephanie L Taylor, MD
• Telos Compounding Solutions LLC
• Carolyn Terrell, COTA
• Patricia Gayle Teter, M.S.;CCC/SLP-L
• Larry Ray Tevebaugh Jr., NURSE PRACTITIONER
• Brian Emil Thatcher, M.D.
• The Back Stop LLC

• Clinic/Center in Yukon, OK
• Providers in Yukon, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.