Organization Active NPI

Prosperity Health and Wellness PLLC

  • Health Service Clinic/Center
  • Belton, TX
National Provider Identifier
1104404052
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Melinda Davis-McClendon, APRNNPI 1467051870
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.