Healwell of Southern Oklahoma

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALWELL OF SOUTHERN OKLAHOMA

Practice address

333 W Main St Ste 245
Ardmore, OK 73401-6300

Phone

(405) 492-7229

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Randi Jones, APRN-CNPNPI 1588299952

Title

Owner

Phone

(405) 492-7229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

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

• Randi June Jones

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1588299952
  Medicare reassignment Authorized official
• Michael John Boger, D.O.

  • Family Medicine Physician
  • Durant, OK
  • NPI 1245517473
  Medicare reassignment NPD
• Darci Lynn Bowen, APRN-CNP

  • Family Nurse Practitioner
  • Tishomingo, OK
  • NPI 1053824359
  Medicare reassignment NPD
• Brandi Zavala, N.P.

  • Family Nurse Practitioner
  • Gainesville, TX
  • NPI 1104284132

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1396468310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST STE 245",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016300",
            "telephone_number": "405-492-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST STE 245",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016300",
            "telephone_number": "405-492-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALWELL OF SOUTHERN OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-492-7229",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Headstream, FNP-C
• Healing Hearts Counseling Service PLLC
• Health and Rehab Clinic, P.C.
• Healthcare Innovation in-Home Services V, LLC
• Healthwise Wellness and Recovery LLC
• Heart Mind & Soul Counseling Agency
• Cody Heath
• Alyssa Hegwood
• Ericka Heilaman
• Lori J Heilbrun

• Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.