NR Southwest Okc LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NR SOUTHWEST OKC LLC

Doing business as

Nerve Renewal SW OKC
Nerve Renewal Southwest

Practice address

9821 S May Ave Ste B
Oklahoma City, OK 73159-7042

Phone

(405) 495-7391

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Timothy C Bales, OWNER/CEO

Title

Authorized Official

Phone

(405) 953-7221

Specialties & licenses 2

Addresses

Other names 2

• Nerve Renewal SW OKC Doing business as
• Nerve Renewal Southwest Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

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

• Brieana Kay Dawson, APRN

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1952875981
  Medicare reassignment Care Compare group NPD
• Taylor F Lancaster, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1760521645
  Medicare reassignment Care Compare group NPD
• Kristal Ladawn Vasquez, AGNP-C

  • Primary Care Nurse Practitioner
  • Tulsa, OK
  • NPI 1063030088
  Medicare reassignment Care Compare group NPD
• Shayne Preyer, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1962048520

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1598480220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-953-7221",
            "fax_number": "405-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 S MAY AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597042",
            "telephone_number": "405-495-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR SOUTHWEST OKC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-953-7221",
        "authorized_official_credential": "OWNER/CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nerve Renewal SW OKC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nerve Renewal Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noval Senior Care L.L.C.
• Anita Leigh Novey
• Jennifer Marie Noviello
• Novus PLLC
• Darrell Lynn Nowlin
• Roseline Nsikak, MHR, MHP
• Nslmd PLLC (Norman S Levine MD)
• Evelyn Bih Ntankeh, INTERN
• Jacqueline Gatwiri Nteere
• Nu Family and Life Counseling Services

• Physical Medicine & Rehabilitation Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.