Active NPI
Prosperity Health and Wellness PLLC
- Health Service Clinic/Center
- Belton, TX
National Provider Identifier
1104404052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PROSPERITY HEALTH AND WELLNESS PLLC
- Practice address
- 2608 N Main St Ste B-228
Belton, TX 76513-1546 - Phone
- (931) 249-2502
- NPI assigned
- Mar 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Davis-McClendon, APRN
- Title
- Adult Gerontology Nurse Practitione
- Phone
- (931) 249-2502
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2608 N Main St Ste B-228
Belton, TX 76513-1546
Mailing address
2608 N Main St Ste B-228
Belton, TX 76513-1546
National Provider Directory
National Provider DirectoryLocations
2608 N Main St
Ste B228
Belton, TX 76513
Phone (931) 249-2502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Belton, TX
- NPI 1467051870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1104404052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 N MAIN ST STE B-228",
"city": "BELTON",
"state": "TX",
"postal_code": "765131546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 N MAIN ST STE B-228",
"city": "BELTON",
"state": "TX",
"postal_code": "765131546",
"telephone_number": "931-249-2502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY HEALTH AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-31",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "DAVIS-MCCLENDON",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "ADULT GERONTOLOGY NURSE PRACTITIONE",
"authorized_official_telephone_number": "931-249-2502",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.