Alva Health and Wellness PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALVA HEALTH AND WELLNESS PLLC

Practice address

515 College Ave Ste 3
Alva, OK 73717-2230

Phone

(580) 747-0296

NPI assigned

Feb 23, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy D Logsdon, APRNNPI 1013574789

Title

Lead Provider

Phone

(580) 747-0296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Jeremy D Logsdon, CNP- FAMILY

  • Family Nurse Practitioner
  • Alva, OK
  • NPI 1013574789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1134827660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COLLEGE AVE STE 3",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172230",
            "telephone_number": "580-747-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COLLEGE AVE STE 3",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172230",
            "telephone_number": "580-747-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVA HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "LOGSDON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LEAD PROVIDER",
        "authorized_official_telephone_number": "580-747-0296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Albitz
• Alva Chiropractic Clinic, P.L.L.C.
• Alva EMS
• Alva Hospital Authority (SMC West End RHC)
• Alva Hospital Authority (SMC Physicians Clinic)
• Alva Hospital Authority (SMC Downtown Clinic)
• Alva Hospital Authority (Share Medical Center)
• Alva Hospital Authority (Share Medical Center)

• Family Medicine Physician in Alva, OK
• Providers in Alva, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.