Visionary Imaging & Wellness LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

VISIONARY IMAGING & WELLNESS LLC

Practice address

3575 Story Rd W Suite 130
Irving, TX 75062-3427

Phone

(214) 458-0999

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. John E Shero, CPED, CHC

Title

Ceo

Phone

(817) 894-9436

Specialties & licenses 1

Addresses

Other names 1

• Visionary Wellness & Imaging Doing business as

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1114614005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 STORY RD W SUITE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623427",
            "telephone_number": "214-458-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 STORY RD W SUITE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623427",
            "telephone_number": "214-458-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY IMAGING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "SHERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-894-9436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED, CHC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Wellness & Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health & Wellness Coach in Irving, TX
• Providers in Irving, TX by specialty
• Health & Wellness Coach in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.