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Organization Active NPI

Pure Divergence

Doing business as Sarah Whitewater

  • Community/Behavioral Health Agency
  • Mustang, OK
National Provider Identifier
1144573080
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURE DIVERGENCE
Doing business as
Sarah Whitewater
Practice address
508 Cherokee Gate Dr
Mustang, OK 73064-0334
Phone
(405) 779-4334
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Sarah Whitewater
Title
Owner
Phone
(405) 779-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

508 Cherokee Gate Dr
Mustang, OK 73064-0334

Mailing address

PO Box 334
Mustang, OK 73064-0334
Phone (405) 779-4334

Other names 1

  • Sarah Whitewater Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1144573080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640334",
            "telephone_number": "405-779-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CHEROKEE GATE DR",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640334",
            "telephone_number": "405-779-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DIVERGENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "WHITEWATER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-779-4334"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Whitewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.