Holistic Wound & Diabetic Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOLISTIC WOUND & DIABETIC CARE LLC

Practice address

1420 Valwood Pkwy Ste 170
Carrollton, TX 75006-6892

Phone

(972) 533-5163

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quinnet A Momoh, MSN, APRN, FNP-CNPI 1811473960

Title

Owner

Phone

(972) 533-5163

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Quinnet A Momoh, FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1811473960
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1134889306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 W CAMP WISDOM RD STE 100-126",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 VALWOOD PKWY STE 170",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066892",
            "telephone_number": "972-533-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WOUND & DIABETIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MOMOH",
        "authorized_official_first_name": "QUINNET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-533-5163",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent D Ho, RPH
• Lillia Hoang
• Natalie Diane Hoffmann, PT
• Christopher Neal Holcomb, DC
• Holistic Touch Hospice LLC
• Elith Holland, LMSW
• Jordan Holley, LCSW
• Lisa M Holley, M.D.
• Robbin Todd Holley, LPC
• Zarius J Holliman, M.A, BCBA, LBA

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.