Organization Active NPI

O&M Family Wellness Center, LLC

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1053184259
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
O&M FAMILY WELLNESS CENTER, LLC
Practice address
3224 I 30 Ste 137
Mesquite, TX 75150-2675
Phone
(239) 465-2365
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Osleidy Fernandez, NPNPI 1649859224
Title
Owning Partner
Phone
(239) 465-2365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3224 I 30 Ste 137
Mesquite, TX 75150-2675

Mailing address

3224 I 30 Ste 137
Mesquite, TX 75150-2675
Phone (239) 465-2365

Other names 1

  • Mesquite Family Center Doing business as

National Provider Directory

National Provider Directory

Locations

3224 I 30
Ste 137
Mesquite, TX 75150
Phone (239) 465-2365

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1053184259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 137",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502675",
            "telephone_number": "239-465-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 137",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502675",
            "telephone_number": "239-465-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O&M FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "OSLEIDY",
        "authorized_official_title_or_position": "OWNING PARTNER",
        "authorized_official_telephone_number": "239-465-2365",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesquite Family Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesquite Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.