Organization Active NPI

Energy Health Centre

  • Obstetrics & Gynecology Physician
  • Colleyville, TX
National Provider Identifier
1003336108
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ENERGY HEALTH CENTRE
Practice address
6221 Colleyville Blvd Ste 150
Colleyville, TX 76034-6250
Phone
(817) 251-6533
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Kelly Badillo, RD, LD
Title
Registered Dietitian
Phone
(817) 251-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6221 Colleyville Blvd Ste 150
Colleyville, TX 76034-6250

Mailing address

6221 Colleyville Blvd Ste 150
Colleyville, TX 76034-6250

Other practice location 1

709 W Leuda St
Fort Worth, TX 76104-3115
Phone (817) 926-2511

National Provider Directory

National Provider Directory

Locations

6221 Colleyville Blvd
Ste 150
Colleyville, TX 76034
Phone (817) 251-6533

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1003336108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 COLLEYVILLE BLVD STE 150",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 COLLEYVILLE BLVD STE 150",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346250",
            "telephone_number": "817-251-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 W Leuda St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043115",
            "country_code": "US",
            "telephone_number": "817-926-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENERGY HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BADILLO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "817-251-6533",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.