=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326985987
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OAKTREE HEALTH AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5900 BALCONES DRIVE SUITE 4000
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-689-0558
-----------------------------------------------------
Fax | 417-356-8797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6505 COWMAN WAY AUSTIN
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-689-0558
-----------------------------------------------------
Fax | 417-356-8797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | GEETA SHARMA
-----------------------------------------------------
Credential | DNP
-----------------------------------------------------
Telephone | 203-815-0719
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------