Organization Active NPI

Your Best Life LLC

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1831595032
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28027 Issued in OK
Legal business name
YOUR BEST LIFE LLC
Practice address
8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562
Phone
(918) 893-1440
Fax
(918) 893-1481
NPI assigned
Nov 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

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

Authorized official

Name
Mr. Fred Carter Glidewell
Title
Owner
Phone
(918) 893-1440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 28027 OK Primary
Medical Specialty Clinic/Center 261QM2500X 28027 OK

Addresses

Primary practice location

8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562

Mailing address

8010 S 101St East Ave
Suite 200
Tulsa, OK 74133-4562
Phone (918) 893-1440

National Provider Directory

National Provider Directory

Locations

8010 S 101st East Ave
Ste 200
Tulsa, OK 74133
Phone (918) 512-8388

NPI Registry JSON

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447459200000",
    "number": "1831595032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-893-1440",
            "fax_number": "918-893-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-893-1440",
            "fax_number": "918-893-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR BEST LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2015-11-14",
        "status": "A",
        "authorized_official_last_name": "GLIDEWELL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-893-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28027",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "28027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; 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.