ICARE PRIMARY & WELLNESS CLINIC LLC
NPI 1922671551
Nurse Practitioner - Primary Care in Oklahoma City, OK

Q: What is Icare Primary & Wellness Clinic LLC's NPI number?

The NPI number for Icare Primary & Wellness Clinic LLC is 1922671551. It was assigned to this organization in the NPPES registry on July 21, 2021.

Q: What is Icare Primary & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since July 21, 2021

4823 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 673-4045 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Icare Primary & Wellness Clinic Llc NPPES

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

ICARE PRIMARY & WELLNESS CLINIC LLC (NPI 1922671551) is a healthcare organization registered as a primary care in Oklahoma City, Oklahoma and active in the NPI registry since July 2021. The organization lists Kami Scruggs, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1922671551

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameICARE PRIMARY & WELLNESS CLINIC LLC

Location Address4823 S WESTERN AVEOklahoma City, OK 73109-3835

Mailing Address1145 W I 240 Service Rd # Bdlf10Oklahoma City, OK 73139-2171 · (405) 658-8904

Phone(405) 673-4045

Organization SubpartNo

Authorized OfficialKami ScruggsChief Operating Officer · (405) 658-8904

Enumeration DateJuly 21, 2021

NPPES CertifiedJuly 21, 2021

✔ NPI 1922671551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

4823 S WESTERN AVE, Oklahoma City, OK 73109

Open in Google Maps ↗

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

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 Icare Primary & Wellness Clinic LLC's NPI number?

The NPI number for Icare Primary & Wellness Clinic LLC is 1922671551. It was assigned to this organization in the NPPES registry on July 21, 2021.

Where is Icare Primary & Wellness Clinic LLC located?

Icare Primary & Wellness Clinic LLC is located at 4823 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 673-4045.

What is Icare Primary & Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Icare Primary & Wellness Clinic LLC was last updated on July 21, 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.