NOURISHED (NPI# 1366082315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366082315 |
| Entity Type | Organization |
| Organization Name | NOURISHED |
| Practice Address |
10400 Vineyard Blvd Ste B Oklahoma City OK 73120-3830 |
| Mailing Address |
10400 Vineyard Blvd Ste A Oklahoma City OK 73120-3830 |
| Practice Telephone | 4052425305 |
| Practice Fax Number | 4052425345 |
| Mailing Telephone | 4052425305 |
| Mailing Fax Number | 4052425345 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | REBEL BUERSMEYER (THERAPIST) |
| Authorized Official Telephone | 4052425305 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NOURISHED (W)HOLISTIC NUTRITION, LLC | 302 W Main Street, Silverton, OR 97381 |
| Virginia Business Entities | Nourished and Able LLC | 4445 Corporation Ln. Ste 264, Virginia Beach, Virginia 23462 |
| Vermont Business Registrations | NOURISHED AND FREE, LLC | 9 Monsignor Crosby Ave., Apt. 3, Montpelier, VT 05602 |
| New York State Corporations | NOURISHED AND WELLTHY LLC | 307 Rugar Street, Plattsburgh, Ny 12901 |
| Washington State Corporations | NOURISHED BATH LLC | 1676 Ne Falls Dr, Issaquah, WA 98029-7821 |
| Oregon Corporations, Companies and Business Names | NOURISHED BEGINNINGS | 3681 Silverstone Ct Ne, Salem, OR 97305 |
| Oregon Corporations, Companies and Business Names | NOURISHED BEGINNINGS SILVERTON LLC | 3681 Silverstone Ct Ne, Salem, OR 97305 |
| Colorado Business Entities | Nourished Beginnings, LLC | 3801 Monterey Place, Boulder, CO 80301 |
| Oregon Corporations, Companies and Business Names | NOURISHED BEING, LLC | 15572 Se Kensington Drive, Clackamas, OR 97015 |
| Washington State Corporations | NOURISHED BODY 360 LLC | 1100 Nw Autumn Ct, Camas, WA 98607-8722 |
| Street Address |
10400 VINEYARD BLVD STE B |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910265 | Danielle Renee Gonzales | Dietitian, Registered | 10400 Vineyard Blvd Ste B, Oklahoma City, OK 73120-3830 | 2020-10-19 |
| 1174155865 | Dietitian On A Mission LLC | Dietitian, Registered | 10400 Vineyard Blvd Ste B, Oklahoma City, OK 73120-3830 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1144842923 | Forth Star Counseling LLC | Clinic/Center | 5350 S Western Ave Ste 731, Oklahoma City, OK 73109-4520 | 2020-05-14 |
| 1750947487 | Counseling and Mediation Services of Oklahoma | Clinic/Center | 13909 Technology Dr, Oklahoma City, OK 73134-1056 | 2019-05-17 |
| 1801366554 | Divine Holistic Intervention Services LLC. | Clinic/Center | 1330 N Classen Blvd Ste 310, Oklahoma City, OK 73106-6834 | 2018-11-26 |
| 1518436518 | Total Care Behavioral Health Services, LLC | Clinic/Center | 5350 S Western Ave Ste 548, Oklahoma City, OK 73109-4536 | 2018-11-19 |
| 1780176479 | Penny Lane Therapy LLC | Clinic/Center | 4416 N Western Ave Ste 207, Oklahoma City, OK 73118-5256 | 2018-05-30 |
| 1134619646 | Anthony Sean Buckley | Clinic/Center | 8018 Nw 87th St, Oklahoma City, OK 73132-3229 | 2018-05-10 |
| 1801396924 | Higher Purpose Counseling Center LLC | Clinic/Center | 6444 Nw Expressway Ste 425d, Oklahoma City, OK 73132-8125 | 2018-02-15 |
| 1255845624 | Time To Talk, LLC | Clinic/Center | 1933 Nw 39th St, Oklahoma City, OK 73118-2611 | 2017-11-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on NOURISHED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.