Active NPI
Chic Aesthetics and Wellness X Michaela LLC
- General Practice Physician
- Clinton, OK
National Provider Identifier
1447191705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CHIC AESTHETICS AND WELLNESS X MICHAELA LLC
- Practice address
- 1421 Gholston Ave
Clinton, OK 73601-5105 - Phone
- (580) 309-1990
- NPI assigned
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer M Rodriguez
- Title
- Owner
- Phone
- (580) 309-1990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1421 Gholston Ave
Clinton, OK 73601-5105
Mailing address
1421 Gholston Ave
Clinton, OK 73601-5105
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1447191705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 GHOLSTON AVE",
"city": "CLINTON",
"state": "OK",
"postal_code": "736015105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 GHOLSTON AVE",
"city": "CLINTON",
"state": "OK",
"postal_code": "736015105",
"telephone_number": "580-309-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIC AESTHETICS AND WELLNESS X MICHAELA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-309-1990"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, OK
- Thomas Eugene Cashero, MD
- Catholic Charities
- Pauline Celsor, RN
- Nancy Charbonneau, PRN
- Cheyenne-Arapaho Tribes of Oklahoma (Cheyenne Arapaho EMS)
- Christopher Kolker, MD PLLC (Christopher Kolker, M.D.)
- Tresce Jessica Clark, B.S.
- Clint and Carolyn Inc. (Better Hearing Systems)
- Clinton Chiropractic Center Inc
- Clinton Dental Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.