Walker Concierge Health and Wellness Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WALKER CONCIERGE HEALTH AND WELLNESS CLINIC LLC

Practice address

661 E Main St # 200175
Midlothian, TX 76065-3340

Phone

(469) 364-1300

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Kizzy Price, NP

Title

Adult Gero Nurse Practitioner

Phone

(469) 364-1300

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18024/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Adeline Etoghe Abam, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1902277056
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073022653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E MAIN ST # 200175",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653340",
            "telephone_number": "469-364-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E MAIN ST # 200175",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653340",
            "telephone_number": "469-364-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER CONCIERGE HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KIZZY",
        "authorized_official_title_or_position": "ADULT GERO NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-364-1300",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtually Speaking: Counseling and Consulting Services, LLC
• Latonia Mechella Wade, LCSW
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC
• Walgreen Co
• Katlyn Dryer Walker
• Josephine Wang
• Jared Warburton
• Stephanie Pagan Watabe, MD
• William Carl Weathersby, LCSW

• Health Service Clinic/Center in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.