Organization Active NPI

Abundant Wellness

Doing business as Abundant Wellness MD LLC

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1336690379
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABUNDANT WELLNESS
Doing business as
Abundant Wellness MD LLC
Practice address
8787 N Owasso Expy
Suite J
Owasso, OK 74055-4444
Phone
(918) 516-2296
Fax
(918) 516-2965
NPI assigned
Oct 14, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Loretta A. Farrell, MDNPI 1801826045
Title
President
Phone
(918) 794-4652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OK Primary

Addresses

Primary practice location

8787 N Owasso Expy
Suite J
Owasso, OK 74055-4444

Mailing address

8787 N Owasso Expy
Suite J
Owasso, OK 74055-4444
Phone (918) 516-2296

Other names 1

  • Abundant Wellness MD LLC Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14989/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1336690379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 N OWASSO EXPY",
            "address_2": "SUITE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554444",
            "telephone_number": "918-516-2296",
            "fax_number": "918-516-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 N OWASSO EXPY",
            "address_2": "SUITE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554444",
            "telephone_number": "918-516-2296",
            "fax_number": "918-516-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-794-4652",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Wellness MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.