Organization Active NPI

Healthyspan LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1629864517
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALTHYSPAN LLC
Practice address
10324 Greenbriar PL Ste C
Oklahoma City, OK 73159-7650
Phone
(405) 822-0480
Fax
(947) 222-9272
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Imelda Garner, PMHNP, APRN-CNPNPI 1437506680
Title
Pmhnp, Aprn-CNP
Phone
(405) 822-0480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

10324 Greenbriar PL Ste C
Oklahoma City, OK 73159-7650

Mailing address

10324 Greenbriar PL Ste C
Oklahoma City, OK 73159-7650
Phone (405) 822-0480

Other names 1

  • Apex Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

10324 Greenbriar Pl
Ste C
Oklahoma City, OK 73159
Phone (405) 822-0480

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1629864517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 GREENBRIAR PL STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597650",
            "telephone_number": "405-822-0480",
            "fax_number": "947-222-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 GREENBRIAR PL STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597650",
            "telephone_number": "405-822-0480",
            "fax_number": "947-222-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYSPAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "PMHNP, APRN-CNP",
        "authorized_official_telephone_number": "405-822-0480",
        "authorized_official_credential": "PMHNP, APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.