Wellspring Family Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPRING FAMILY CLINIC LLC

Practice address

104 S Oak St
Ste. B
Sallisaw, OK 74955-4624

Phone

(918) 775-0075

Fax

(918) 775-0063

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Kristi Sager, APRNNPI 1033182258

Title

Owner/Practitioner

Phone

(918) 461-0422

Specialties & licenses 1

Addresses

Tax ID family

Wellspring Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellspring Family Clinic

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1033526611
  NPD tax ID

Practitioners 1

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

• Kristi Gene Sager, ARNP

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1033182258
  NPD Authorized official

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1265813307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128975",
            "telephone_number": "918-461-0422",
            "fax_number": "918-461-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S OAK ST",
            "address_2": "STE. B",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554624",
            "telephone_number": "918-775-0075",
            "fax_number": "918-775-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SAGER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "918-461-0422",
        "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": []
}

• Dena Marie Wann
• Lucinda Washington
• Amanda Blair Webb, BA
• John Palmer Weddle, D.O.
• Robert Henry Wells Jr., D.D.S.
• Pamela Jorene West, R.PH.
• Hayley Elizabeth Weston
• Christine White
• Vicki Lynn White, BA PSYCHOLOGY, BS RW
• Susan L Wickett, LCSW

• Family Medicine Physician in Sallisaw, OK
• Providers in Sallisaw, 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 Jun 15, 2015; 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.