NPIMap

Organization Active NPI

Clinic for Family Wellness PLLC

  • Clinic/Center
  • Memphis, TX
National Provider Identifier
1003069279
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
231272 Issued in TX
Legal business name
CLINIC FOR FAMILY WELLNESS PLLC
Practice address
1645 N 18TH St
Memphis, TX 79245-2059
Phone
(806) 259-1058
Fax
(806) 259-1060
NPI assigned
Oct 31, 2008
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carole D Ward, FNP-CNPI 1154375855
Title
Owner
Phone
(806) 259-1058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 231272 TX Primary

Addresses

Primary practice location

1645 N 18TH St
Memphis, TX 79245-2059

Mailing address

1645 N 18TH St
Memphis, TX 79245-2059
Phone (806) 259-1058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1003069279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 N 18TH ST",
            "city": "MEMPHIS",
            "state": "TX",
            "postal_code": "792452059",
            "telephone_number": "806-259-1058",
            "fax_number": "806-259-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N 18TH ST",
            "city": "MEMPHIS",
            "state": "TX",
            "postal_code": "792452059",
            "telephone_number": "806-259-1058",
            "fax_number": "806-259-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-259-1058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "231272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.