Active NPI
River Valley Women's Care LLC
- Family Nurse Practitioner
- Poteau, OK
National Provider Identifier
1912726662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RIVER VALLEY WOMEN'S CARE LLC
- Doing business as
- River Valley Women's Care LLC
- Practice address
- 1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268 - Phone
- (918) 564-2010
- Fax
- (918) 564-2080
- NPI assigned
- Oct 9, 2024
- 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
- Samantha Joann Sager
- Title
- Aprn, FNP-C
- Phone
- (918) 839-2282
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268
Mailing address
1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268
Phone (918) 564-2010
Other names 1
- River Valley Women's Care LLC
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 1
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": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1912726662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S BROADWAY AVE STE 2",
"city": "POTEAU",
"state": "OK",
"postal_code": "749535268",
"telephone_number": "918-564-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S BROADWAY AVE STE 2",
"city": "POTEAU",
"state": "OK",
"postal_code": "749535268",
"telephone_number": "918-564-2010",
"fax_number": "918-564-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY WOMEN'S CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "SAGER",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "JOANN",
"authorized_official_title_or_position": "APRN, FNP-C",
"authorized_official_telephone_number": "918-839-2282"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Women's Care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.