Organization Active NPI

Diversity Family Health Plllp

  • Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1962044750
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DIVERSITY FAMILY HEALTH PLLLP
Practice address
1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425
Phone
(405) 848-0026
Fax
(800) 490-9811
NPI assigned
Oct 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Authorized official

Name
Christine Cooper, M.D.
Title
Physician
Phone
(405) 848-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425

Mailing address

1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOK

National Provider Directory

National Provider Directory

Locations

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1962044750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026",
            "fax_number": "800-490-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY FAMILY HEALTH PLLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-848-0026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; 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.