Organization Active NPI

Wort Wellbeing Women'S Clinic, PLLC

  • Women's Health Nurse Practitioner
  • Keller, TX
National Provider Identifier
1134799018
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
WORT WELLBEING WOMEN'S CLINIC, PLLC
Practice address
520 E Vine St Unit 2443
Keller, TX 76244-3902
Phone
(254) 640-9118
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Ms. Adrienne Smith, WHNP-BCNPI 1831767722
Title
Advanced Practice Registered Nurse
Phone
(254) 640-9118

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
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

520 E Vine St Unit 2443
Keller, TX 76244-3902

Mailing address

520 E Vine St Unit 2443
Keller, TX 76244-3902
Phone (254) 640-9118

National Provider Directory

National Provider Directory

Locations

520 E Vine St
Unit 2443
Keller, TX 76244
Phone (254) 640-9118

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1134799018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 2443",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762443902",
            "telephone_number": "254-640-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 2443",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762443902",
            "telephone_number": "254-640-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORT WELLBEING WOMEN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "254-640-9118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.