NPIMap

Organization Active NPI

Wheatheart Nutrition Project, Inc.

  • Home Delivered Meals
  • Blackwell, OK
National Provider Identifier
1376798298
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
WHEATHEART NUTRITION PROJECT, INC.
Practice address
123 N Main St
Blackwell, OK 74631-2226
Phone
(580) 262-0303
Fax
(580) 262-0301
NPI assigned
Nov 19, 2008
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Mrs. Kathleen M Willis
Title
Project Director
Phone
(580) 262-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X OK Primary

Addresses

Primary practice location

123 N Main St
Blackwell, OK 74631-2226

Mailing address

123 N Main St
PO Box 606
Blackwell, OK 74631-2226
Phone (580) 262-0303

Other identifiers 1

IdentifierTypeStateIssuer
100683190 AOtherOKSC PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

123 N Main St
Blackwell, OK 74631
Phone (580) 262-0303

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1376798298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "address_2": "PO BOX 606",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312226",
            "telephone_number": "580-262-0303",
            "fax_number": "580-262-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312226",
            "telephone_number": "580-262-0303",
            "fax_number": "580-262-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATHEART NUTRITION PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "580-262-0303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PROVIDER NUMBER",
            "identifier": "100683190 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.