T. Garrett Family Health and Wellness Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

T. GARRETT FAMILY HEALTH AND WELLNESS CLINIC

Practice address

315 S Cockrell Hill Rd Ste 200
Duncanville, TX 75116

Phone

(972) 572-2121

Fax

(214) 580-5180

NPI assigned

Feb 27, 2018

Last updated

Jun 16, 2018By 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

Travicia Lacole Garrett, FNP-CNPI 1245768852

Title

Owner/ Nurse Practitioner

Phone

(214) 966-3070

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Travicia Lacole Garrett, RN, FNP-C

  • Family Nurse Practitioner
  • Duncanville, TX
  • NPI 1245768852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174024731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W DAVIS ST STE 1032",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084745",
            "telephone_number": "972-572-2121",
            "fax_number": "214-580-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S COCKRELL HILL RD STE 200",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75116",
            "telephone_number": "972-572-2121",
            "fax_number": "214-580-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 W Davis St Ste 1032",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084745",
            "country_code": "US",
            "telephone_number": "214-966-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "T. GARRETT FAMILY HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TRAVICIA",
        "authorized_official_middle_name": "LACOLE",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-966-3070",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• SWS Pharmacy Services, Inc.
• Fareeha Syed, DDS
• D'Odric Sykes, ATC
• Talk Spot Counseling PLLC
• Shawna Latrice Tatum, BSN, RN, CCM
• Shaheen Taylor, LMT
• Terrence Taylor, DNP
• Texas Institute of Sports Medicine and Weight Management

• Primary Care Clinic/Center in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.