Organization Active NPI

Lynda K Enkoff Health Blooms

Doing business as Health Blooms Wellness

  • Family Medicine Physician
  • Poteau, OK
National Provider Identifier
1407367717
Registry record updated Oct 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LYNDA K ENKOFF HEALTH BLOOMS
Doing business as
Health Blooms Wellness
Practice address
500 S Broadway St Ste E
Poteau, OK 74953-3818
Phone
(918) 208-7497
Fax
(918) 208-7687
NPI assigned
Oct 14, 2017
Last updated
Oct 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2017

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

Authorized official

Name
Lynda K Enkoff
Title
Owner
Phone
(918) 208-8937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

500 S Broadway St Ste E
Poteau, OK 74953-3818

Mailing address

PO Box 1154
Poteau, OK 74953-1154
Phone (918) 208-8937

Other names 1

  • Health Blooms Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

500 S Broadway St
Ste E
Poteau, OK 74953
Phone (918) 208-7497

NPI Registry JSON

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507939200000",
    "number": "1407367717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531154",
            "telephone_number": "918-208-8937",
            "fax_number": "918-208-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S BROADWAY ST STE E",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533818",
            "telephone_number": "918-208-7497",
            "fax_number": "918-208-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA K ENKOFF HEALTH BLOOMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A",
        "authorized_official_last_name": "ENKOFF",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-208-8937"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Blooms Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.