Organization Active NPI

Onyx Health & Wellness, LLC

  • Primary Care Clinic/Center
  • Midwest City, OK
National Provider Identifier
1811686116
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ONYX HEALTH & WELLNESS, LLC
Practice address
6520 E Reno Ave Ste D
Midwest City, OK 73110-2119
Phone
(405) 455-3008
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Authorized official

Name
Anataya Rucker, APRN,DNPNPI 1144702424
Title
Nurse Practitioner/Owner
Phone
(405) 314-4451

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6520 E Reno Ave Ste D
Midwest City, OK 73110-2119

Mailing address

PO Box 52
Spencer, OK 73084-0052
Phone (405) 314-4451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231009002494 OK Part B Supplier - Clinic/Group Practice 2466807615 Receives reassigned benefits from 1 practitioner
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1811686116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "SPENCER",
            "state": "OK",
            "postal_code": "730840052",
            "telephone_number": "405-314-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 E RENO AVE STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102119",
            "telephone_number": "405-455-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "ANATAYA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "405-314-4451",
        "authorized_official_credential": "APRN,DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.