Active NPI
Wovenlife, Inc.
- Developmentally Disabled Services Day Training Agency
- Oklahoma City, OK
National Provider Identifier
1083854798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- WOVENLIFE, INC.
- Practice address
- 701 NE 13TH St
Oklahoma City, OK 73104-5003 - Phone
- (405) 239-2525
- Fax
- (405) 239-2278
- NPI assigned
- Feb 20, 2009
- Last updated
- Apr 11, 2018
- 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
- Paula Kristin Porter
- Title
- President & Ceo
- Phone
- (405) 239-2525
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| Adult Day Care Clinic/Center | 261QA0600X | DC5512 | OK | |
| Medical Specialty Clinic/Center | 261QM2500X | NU | ||
| Respite Care | 385H00000X | DC5512-5512 | OK |
Addresses
Primary practice location
701 NE 13TH St
Oklahoma City, OK 73104-5003
Mailing address
701 NE 13TH St
Oklahoma City, OK 73104-5003
Phone (405) 239-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100683310B | Medicaid | OK | |
| 100683310A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
701 NE 13th St
Oklahoma City, OK 73104
Phone (405) 239-2525
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.
-
- Speech-Language Pathologist
- Oklahoma City, OK
- NPI 1376858639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1083854798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045003",
"telephone_number": "405-239-2525",
"fax_number": "405-239-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045003",
"telephone_number": "405-239-2525",
"fax_number": "405-239-2278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOVENLIFE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "KRISTIN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "405-239-2525"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "OK",
"license": "DC5512",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "OK",
"license": "DC5512-5512",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100683310B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100683310A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.