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Southern Oklahoma Lifestyles and Preventative Medicine

Public Health & General Preventive Medicine Physician in Ardmore, OK · enumerated 2017 · authorized official Nikki Busellato, Ins. Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538673256

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Oklahoma Lifestyles and Preventative Medicine
Other name <Unavail>
Parent organization Paradigm Hormones, Pllc
Practice address 731 12th Ave Nw Ste 201, Ardmore, OK, 73401
Phone (405) 703-3614
Enumeration date Nov 17, 2017
Last updated in NPPES Nov 17, 2017

Taxonomy & classification

2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Nikki Busellato
Title Ins. Credentialing
Phone (405) 703-3614

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southern Oklahoma Lifestyles and Preventative Medicine?
Southern Oklahoma Lifestyles and Preventative Medicine is registered in NPPES as a Public Health & General Preventive Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-11-17.