Therawell Medical Group PLLC

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

THERAWELL MEDICAL GROUP PLLC

Practice address

23414 Baker Hill Dr
Richmond, TX 77469-2567

Phone

(346) 613-0227

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Dorcas Ayanga, NPNPI 1588393375

Title

Owner

Phone

(346) 613-0227

Specialties & licenses 1

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.

• Dorcas Motunrayo Ayanga, MSN, APRN, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Houston, TX
  • NPI 1588393375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1215781950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23414 BAKER HILL DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692567",
            "telephone_number": "346-613-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23414 BAKER HILL DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692567",
            "telephone_number": "346-613-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAWELL MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "AYANGA",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-613-0227",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Community Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.