RIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC
NPI 1205408481
Nurse Practitioner - Family in Oklahoma City, OK

Active since July 15, 2021CLIA 37D2237166 · Microscopy
2104 BANBURY LN, OKLAHOMA CITY, OK 73170(405) 203-5382 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About River Wolf Gynecology & Family Health, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC (NPI 1205408481) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since July 2021. The organization holds a CLIA Microscopy certificate valid through September 22, 2027 and lists Kalli Wolf, Owner, Clinician, as its authorized official.

NPPES Registry Identity

NPI1205408481
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVER WOLF GYNECOLOGY & FAMILY HEALTH, PLLC
Location Address2104 BANBURY LNOklahoma City, OK 73170-3401
Mailing Address2104 Banbury LnOklahoma City, OK 73170-3401 · (405) 203-5382
Organization SubpartNo
Authorized OfficialKalli WolfOwner, Clinician · (405) 203-5382
Enumeration DateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
NPI 1205408481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
2104 BANBURY LN, Oklahoma City, OK 73170

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D2237166

River Wolf Gynecology & Family Health, PLLC · Oklahoma City, OK
Active · expires Sep 22, 2027
CLIA Number37D2237166
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorKalli M. Wolf
Laboratory Phone(405) 203-5382
Laboratory LocationRiver Wolf Gynecology & Family Health, PLLC2104 Banbury Lane, Oklahoma City, OK 73170
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2104 BANBURY LN
OKLAHOMA CITY, OK 73170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Wolf Gynecology & Family Health, PLLC's NPI number?

The NPI number for River Wolf Gynecology & Family Health, PLLC is 1205408481. It was assigned to this organization in the NPPES registry on July 15, 2021.

Where is River Wolf Gynecology & Family Health, PLLC located?

River Wolf Gynecology & Family Health, PLLC is located at 2104 Banbury Ln, Oklahoma City, OK 73170. The listed phone number is (405) 203-5382.

What is River Wolf Gynecology & Family Health, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does River Wolf Gynecology & Family Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2237166) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Wolf Gynecology & Family Health, PLLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.