Organization Active NPI

Whole Human Life PLLC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1639810039
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHOLE HUMAN LIFE PLLC
Practice address
3030 NW Expressway, Suite 200 #536
Oklahoma City,, OK 73112
Phone
(888) 338-3408
Fax
(909) 752-5458
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Deanna Windham, DONPI 1295808749
Title
Owner
Phone
(909) 996-1905

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

3030 NW Expressway, Suite 200 #536
Oklahoma City,, OK 73112

Mailing address

3030 NW Expressway, Suite 200 #536
Oklahoma City,, OK 73112
Phone (888) 338-3408

Other practice location 1

260 Newport Center Dr
Newport Beach, CA 92660-7520
Phone (909) 206-1282

Other identifiers 1

IdentifierTypeStateIssuer
200793340AMedicaidOK

National Provider Directory

National Provider Directory

Locations

260 Newport Center Dr
Newport Beach, CA 92660
Phone (949) 232-0460

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639810039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY, SUITE 200 #536",
            "city": "OKLAHOMA CITY,",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "888-338-3408",
            "fax_number": "909-752-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY, SUITE 200 #536",
            "city": "OKLAHOMA CITY,",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "888-338-3408",
            "fax_number": "909-752-5458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Newport Center Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607520",
            "country_code": "US",
            "telephone_number": "909-206-1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE HUMAN LIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-996-1905",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200793340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.