Complete Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COMPLETE HEALTH CARE

Practice address

2933 Park Plaza LN
Port Arthur, TX 77642-5516

Phone

(409) 983-1899

Fax

(409) 300-4310

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Connie D Johnson-WiltzNPI 1306354261

Title

Owner

Phone

(409) 983-1899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Connie Denise Johnson-Wiltz, FNP-BC

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1306354261
  Medicare reassignment NPD Authorized official
• Nkem Agatha Nwaobi, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
  • NPI 1659897130

  Family

  NPD (past)
• Tracie Dalene Updike, M.D.

  • Family Medicine Physician
  • Port Arthur, TX
  • NPI 1629070750
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1316610017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 PARK PLAZA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425516",
            "telephone_number": "409-983-1899",
            "fax_number": "409-300-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 PARK PLAZA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425516",
            "telephone_number": "409-983-1899",
            "fax_number": "409-300-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-WILTZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-983-1899"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316610017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Clark, RT, CT, RVS
• Rachel Coleman
• Colin L,. Hales, MD PLLC
• Colin L. Hales, M.D., P.a.
• April Lynette Colligan, MS, CCC, SLP
• Melody Coons, PHARMD
• Cooper Premier Services LLC
• Anthony Cooper
• Marian E Cordovez-Tan, M.D.
• Corium Ventures PLLC

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.