NPIMap

Organization Active NPI

Well Rooted Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1063164002
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELL ROOTED PEDIATRICS, PLLC
Practice address
5570 FM 423 # 250-1218
Frisco, TX 75036-8980
Phone
(469) 898-6346
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Annalise Monet Clayborne, APRNNPI 1417366436
Title
Nurse Practitioner
Phone
(512) 698-3641

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5570 FM 423 # 250-1218
Frisco, TX 75036-8980

Mailing address

5570 FM 423 # 250-1218
Frisco, TX 75036-8980
Phone (469) 898-6346

National Provider Directory

National Provider Directory

Locations

2955 Eldorado Pkwy
Ste 120
Frisco, TX 75033
Phone (208) 329-2101

5570 FM 423
Frisco, TX 75036
Phone (469) 898-6346

Practitioners & affiliated clinicians

Practitioners 5

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": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1063164002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 FM 423 # 250-1218",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368980",
            "telephone_number": "469-898-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 FM 423 # 250-1218",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368980",
            "telephone_number": "469-898-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ROOTED PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "CLAYBORNE",
        "authorized_official_first_name": "ANNALISE",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "512-698-3641",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.