Elysian Beauty and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELYSIAN BEAUTY AND WELLNESS

Doing business as

Elysian Beauty and Wellness

Practice address

3000 Wilcrest Dr Ste 164
Houston, TX 77042-3518

Phone

(346) 324-5734

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Tracy Amerson-Rivers, APRNNPI 1396227047

Title

Owner

Phone

(346) 324-5734

Specialties & licenses 1

Addresses

Other names 1

• Elysian Beauty and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Amerson-Rivers, APRN FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1396227047
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1235919747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WILCREST DR STE 164",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423518",
            "telephone_number": "346-661-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WILCREST DR STE 164",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423518",
            "telephone_number": "346-324-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN BEAUTY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "AMERSON-RIVERS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-324-5734",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Beauty and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendall Elwood, PA-C
• McKenna Elwood
• Christian Ely, OT
• Sheridan Louise Ely, RN, FNP-C
• Elyse Sears DDS PLLC
• Kareem Elzamly, MD
• Shaimaa Elzamly, MD
• Steven Elzein
• Em Ambulance Service Inc (Em Ambulance Service)
• Emad H. Asham, M.D., P.a.

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.