Organization Active NPI

Wonderfully Made Wellness Sanctuary

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1114552916
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WONDERFULLY MADE WELLNESS SANCTUARY
Practice address
105 S. Tennessee Street Suite 102
McKinney, TX 75069
Phone
(469) 631-0023
Fax
(469) 631-0209
NPI assigned
Mar 12, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Mrs. Michelle Katherine Rowton, NPNPI 1164724605
Title
Owner, Ceo
Phone
(469) 631-0023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X NU

Addresses

Primary practice location

105 S. Tennessee Street Suite 102
McKinney, TX 75069

Mailing address

105 S. Tennessee Street Suite 102
McKinney, TX 75069
Phone (469) 631-0023

National Provider Directory

National Provider Directory

Locations

105 S Tennessee St
Ste 102
McKinney, TX 75069
Phone (469) 631-0023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1114552916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S. TENNESSEE STREET SUITE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "469-631-0023",
            "fax_number": "469-631-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. TENNESSEE STREET SUITE 102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "469-631-0023",
            "fax_number": "469-631-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE WELLNESS SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ROWTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "469-631-0023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.