River Wolf Gynecology & Family Health, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC

Practice address

2104 Banbury LN
Oklahoma City, OK 73170-3401

Phone

(405) 203-5382

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Kalli Wolf, CNM, FNP-CNPI 1033627187

Title

Owner, Clinician

Phone

(405) 203-5382

Specialties & licenses 2

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24561/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Kalli M Wolf, APRN, CMW

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1033627187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1205408481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 BANBURY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703401",
            "telephone_number": "405-203-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 BANBURY LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703401",
            "telephone_number": "405-203-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KALLI",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "405-203-5382",
        "authorized_official_credential": "CNM, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blair Ritter, M.A. CCC-SLP
• Fabio Ritto
• Fernanda Ritto, DDS
• Jasmin Rivas, LCSW
• Rodrigo Rivas
• Angel D. Rivera, M.D.
• Ayanna L Rivera
• Brianna Dalyn Rivera
• Chelsie Ann Rivera
• Elizabeth Rivera

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.