Active NPI
Revigen Health and Wellness, LLC
- Health Service Clinic/Center
- Claremore, OK
National Provider Identifier
1629924675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- REVIGEN HEALTH AND WELLNESS, LLC
- Practice address
- 518 W Will Rogers Blvd
Claremore, OK 74017-6823 - Phone
- (918) 205-2685
- Fax
- (918) 727-2652
- NPI assigned
- Mar 10, 2026
- Last updated
- May 28, 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
- Sara Enyart, PA-C
- Title
- Owner/Provider
- Phone
- (918) 205-2685
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
518 W Will Rogers Blvd
Claremore, OK 74017-6823
Mailing address
518 W Will Rogers Blvd
Claremore, OK 74017-6823
Phone (918) 205-2685
National Provider Directory
National Provider DirectoryLocations
518 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 205-2685
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Claremore, OK
- NPI 1528363827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1629924675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740176823",
"telephone_number": "918-205-2685",
"fax_number": "918-727-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740176823",
"telephone_number": "918-205-2685",
"fax_number": "918-727-2652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIGEN HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "ENYART",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "918-205-2685",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.