Organization Active NPI

Shalom Family and Weight Loss Clinic, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1265118806
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHALOM FAMILY AND WEIGHT LOSS CLINIC, PLLC
Doing business as
Shalom Family and Weight Loss Clinic, PLLC
Practice address
2819 NW Loop 410 Ste a
San Antonio, TX 78230-5105
Phone
(210) 500-8639
Fax
(210) 783-9179
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mrs. Amy J Williams, FNP-BC
Title
Owner/FNP
Phone
(210) 500-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2819 NW Loop 410 Ste a
San Antonio, TX 78230-5105

Mailing address

8514 Kallison Arbor
San Antonio, TX 78254-4557
Phone (512) 568-9636

Other names 1

  • Shalom Family and Weight Loss Clinic, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

9258 Culebra Rd
Ste 122
San Antonio, TX 78251

9258 Culebra Rd
Ste 118
San Antonio, TX 78251
Phone (210) 500-8639

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1265118806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 KALLISON ARBOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544557",
            "telephone_number": "512-568-9636",
            "fax_number": "210-783-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NW LOOP 410 STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305105",
            "telephone_number": "210-500-8639",
            "fax_number": "210-783-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FAMILY AND WEIGHT LOSS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "210-500-8639",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Family and Weight Loss Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Family and Weight Loss Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.