Rebalance Wellness Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REBALANCE WELLNESS CENTER

Practice address

5577 S Lewis Ave
Tulsa, OK 74105-7132

Phone

(918) 749-0003

Fax

(918) 289-0450

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Rebekah Gray, APRNNPI 1568885499

Title

Aprn

Phone

(479) 200-7777

Specialties & licenses 2

Addresses

Practitioners 1

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

• Rebekah Leanne Gray, APRN

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1568885499
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1376135301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057132",
            "telephone_number": "918-749-0003",
            "fax_number": "918-289-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057132",
            "telephone_number": "918-749-0003",
            "fax_number": "918-289-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "479-200-7777",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Reaser
• Glister Kate Reasoner, DO
• Reasors LLC
• Reasors LLC
• Sherry Lynn Reaves, LCSW
• Cassandra Rebeor
• Vanesa Rebollar
• Recipe for Regeneration
• Bonnie Reckinger
• Rebecca Record

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.