Grace Springs Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE SPRINGS WELLNESS CENTER LLC

Practice address

14713 Turner Falls Rd
Oklahoma City, OK 73142-4226

Phone

(405) 535-4499

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ifeoma Grace Ogbalu, DNP, APRN, PMHNP-BCNPI 1609596055

Title

Nurse Practitioner

Phone

(405) 535-4499

Specialties & licenses 1

Addresses

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.

• Ifeoma Grace Ogbalu, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
  • NPI 1609596055
  NPD Authorized official

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1841068194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 TURNER FALLS RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424226",
            "telephone_number": "405-535-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14713 TURNER FALLS RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424226",
            "telephone_number": "405-535-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE SPRINGS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "OGBALU",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "405-535-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.