Reclaim Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RECLAIM WELLNESS LLC

Doing business as

Reclaim Wellness

Practice address

10932 NW Expressway Ste C
Yukon, OK 73099-8764

Phone

(405) 570-1010

Fax

(949) 660-5841

NPI assigned

May 16, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracye Fowler, NP

Title

Provider Owner

Phone

(405) 819-5884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reclaim Wellness Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24436/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1508503152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10932 NW EXPRESSWAY STE C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998764",
            "telephone_number": "405-570-1010",
            "fax_number": "949-660-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10932 NW EXPRESSWAY STE C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998764",
            "telephone_number": "405-570-1010",
            "fax_number": "949-660-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "TRACYE",
        "authorized_official_title_or_position": "PROVIDER OWNER",
        "authorized_official_telephone_number": "405-819-5884",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200657160",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reclaim Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reclaim Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Yukon, OK
• Providers in Yukon, 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 Sep 6, 2022; 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.