Provider Demographics
NPI:1164181244
Name:ACHIEVE HEALTH FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:ACHIEVE HEALTH FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/APRN
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:SEGREST
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:405-664-6225
Mailing Address - Street 1:12401 N MAY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-1967
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12401 N MAY AVE STE 102
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-1967
Practice Address - Country:US
Practice Address - Phone:405-631-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty