Generation Community Impact Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENERATION COMMUNITY IMPACT FOUNDATION

Doing business as

Onyx Health Clinic

Practice address

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

Phone

(405) 455-3008

Fax

(405) 393-6329

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Anataya Rucker, APRNNPI 1144702424

Title

Ceo

Phone

(405) 314-4451

Specialties & licenses 1

Addresses

Other names 1

• Onyx Health Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anataya Rachi Rucker, NP

  • Family Nurse Practitioner
  • Midwest City, OK
  • NPI 1144702424
  NPD Authorized official

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1902613490",
    "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": "405-455-3008",
            "fax_number": "405-393-6329"
        },
        {
            "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",
            "fax_number": "405-393-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION COMMUNITY IMPACT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "ANATAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-314-4451",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onyx Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Gardener, MDA, RDN, LDN
• Garnos Anesthesia Services, Inc.
• Verle Robert Garnos, CRNA
• Mason Garza
• Monica Geis
• George B Dawson MD PC
• Amy Georgia
• Krishna Anil Gheewala, DDS
• Shaneka Walker Gibson
• Kayla Jenea Gilbert

• Clinic/Center in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.