Genesis Renewal, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENESIS RENEWAL, INC.

Practice address

12810 S Memorial Dr Unit 307
Bixby, OK 74008-5506

Phone

(918) 685-2896

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Rebecca B Williamson

Title

Authorized Official

Phone

(918) 685-2896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1215567185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 S MEMORIAL DR UNIT 307",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085506",
            "telephone_number": "918-685-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 S MEMORIAL DR UNIT 307",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085506",
            "telephone_number": "918-685-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RENEWAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-685-2896"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Francis
• Amanda Kay Gammill, M.S CCC-SLP
• Nicole Amerald Gater
• Owen Geberth
• Genesis EMS Solutions Inc.
• Joshan George, DC
• Brad Girard, PHARMD
• Laura Michelle Girod
• Troy A. Glaser, D.O.
• Glenpool Pharmacy Inc

• Clinic/Center in Bixby, OK
• Providers in Bixby, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.