Nourished

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NOURISHED

Practice address

10400 Vineyard Blvd Ste B
Oklahoma City, OK 73120-3830

Phone

(405) 242-5305

Fax

(405) 242-5345

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Rebel Buersmeyer, LMFT

Title

Therapist

Phone

(405) 242-5305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1366082315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 VINEYARD BLVD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203830",
            "telephone_number": "405-242-5305",
            "fax_number": "405-242-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 VINEYARD BLVD STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203830",
            "telephone_number": "405-242-5305",
            "fax_number": "405-242-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "BUERSMEYER",
        "authorized_official_first_name": "REBEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-242-5305",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Stephen Norwood
• William Stephen Norwood, M.S.
• Tanya Nottingham
• Hicham Jean Baptiste Nouh
• Nour Alsham
• Alexandra Nicole Novak, PA-C
• Scarlett Novak
• Nicholas Novakovich, DMD
• Noval Senior Care L.L.C.
• Anita Leigh Novey

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.