Active NPI
Onyx Health & Wellness, LLC
- Primary Care Clinic/Center
- Midwest City, OK
National Provider Identifier
1811686116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anataya Rucker, APRN,DNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Spencer, OK
- NPI 1215288691
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.