NPI Code Detail JSON Logo

1770437907 NPI number — HEALTHWISE WELLNESS AND RECOVERY LLC

NPI Number: 1770437907
Health Care Provider/Practitioner: HEALTHWISE WELLNESS AND RECOVERY LLC

Information about “1770437907” NPI (HEALTHWISE WELLNESS AND RECOVERY LLC) exists in 1770437907 in HTML format HTML  |  1770437907 in plain Text format TXT  |  1770437907 in PDF (Portable Document Format) PDF  |  1770437907 in an XML format XML  formats.

NPI Number : 1770437907 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770437907",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALTHWISE WELLNESS AND RECOVERY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARDMORE",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73402-1203",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-710-6644",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1902 SHENANDOAH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARDMORE",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73401-1217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-245-4427",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/24/2026",
    "LastUpdateDate": "02/24/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARMAN",
    "AuthorizedOfficialFirstName": "KARI",
    "AuthorizedOfficialMiddleName": "K",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, CCM, CWCA, WCN-C",
    "AuthorizedOfficialTelephoneNumber": "580-364-3334",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2083P0011X",
          "TaxonomyName": "Undersea and Hyperbaric Medicine (Preventive Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WW0000X",
          "TaxonomyName": "Wound Care Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207PE0005X",
          "TaxonomyName": "Undersea and Hyperbaric Medicine (Emergency Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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