Agrarian Wellness, LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

AGRARIAN WELLNESS, LLC

Practice address

17000 El Camino Real Ste 209
Houston, TX 77058

Phone

(832) 284-4328

Fax

(832) 284-4728

NPI assigned

Nov 4, 2017

Last updated

Jun 6, 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

Latia Hickerson, PHD, MPH, APRN, WHNPNPI 1811238652

Title

Owner

Phone

(832) 930-6345

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17963/brand/1/csg/1/fhir/r4

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.

• Latia Michelle Hickerson, WHNP

  • Nurse Practitioner
  • Houston, TX
  • NPI 1811238652
  Authorized official Same address or phone

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1174035778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582633",
            "telephone_number": "832-284-4328",
            "fax_number": "832-284-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL STE 209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "832-284-4328",
            "fax_number": "832-284-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Woodcombe Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770622538",
            "country_code": "US",
            "telephone_number": "386-747-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGRARIAN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "LATIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-930-6345",
        "authorized_official_credential": "PHD, MPH, APRN, WHNP"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nnenna Renee Agomuo, M.OT, OTR
• Agora Care of Texas LLC (Brevy)
• Zainab Agoro, CNM
• Monica Tweel Agosta, PSY.D.
• Jerasimos Agrapidis
• Anoop Agrawal, M.D.
• Anurag Agrawal, MD
• Anush Agrawal, MD
• Arti Agrawal, PT
• Charu Agrawal

• Women's Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.