Thehealthworxllc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THEHEALTHWORXLLC

Practice address

1425 S Santa Fe Ave Ste G
Edmond, OK 73003-5910

Phone

(405) 695-1187

NPI assigned

Apr 27, 2019

Organization subpart

No

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

Authorized official

Name

Miss Michelle Renee Sturdivant, NP

Title

Ceo/Owner

Phone

(405) 695-1187

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556323200000",
    "number": "1205490984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S SANTA FE AVE STE G",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035910",
            "telephone_number": "405-695-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S SANTA FE AVE STE G",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035910",
            "telephone_number": "405-695-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEHEALTHWORXLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A",
        "authorized_official_last_name": "STURDIVANT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "405-695-1187",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13967262",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.