Organization Active NPI

Engage Life Institute

  • Specialist
  • Jenks, OK
National Provider Identifier
1578928834
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENGAGE LIFE INSTITUTE
Practice address
300 Riverwalk Ter
Suite 260
Jenks, OK 74037-5602
Phone
(918) 299-2225
Fax
(888) 420-6673
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Brandi Hatley
Title
Operations Director
Phone
(918) 299-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

300 Riverwalk Ter
Suite 260
Jenks, OK 74037-5602

Mailing address

300 Riverwalk Ter
Suite 260
Jenks, OK 74037-5602
Phone (918) 299-2225

National Provider Directory

National Provider Directory

Locations

300 Riverwalk Ter
Ste 260
Jenks, OK 74037
Phone (918) 299-2225

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1578928834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERWALK TER",
            "address_2": "SUITE 260",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375602",
            "telephone_number": "918-299-2225",
            "fax_number": "888-420-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERWALK TER",
            "address_2": "SUITE 260",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375602",
            "telephone_number": "918-299-2225",
            "fax_number": "888-420-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE LIFE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "HATLEY",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "918-299-2225"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.