Organization Active NPI

Kelmed Health & Wellness Clinic PLLC

  • Family Nurse Practitioner
  • Italy, TX
National Provider Identifier
1376901561
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125530 Issued in TX
Legal business name
KELMED HEALTH & WELLNESS CLINIC PLLC
Practice address
204 E Main St
Italy, TX 76651-3517
Phone
(972) 393-0909
Fax
(817) 635-8446
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Eunice Asah, FNP-C
Title
Owner
Phone
(682) 227-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP125530 TX Primary

Addresses

Primary practice location

204 E Main St
Italy, TX 76651-3517

Mailing address

PO Box 304
Italy, TX 76651-0304
Phone (972) 393-0909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1376901561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "ITALY",
            "state": "TX",
            "postal_code": "766510304",
            "telephone_number": "972-393-0909",
            "fax_number": "817-635-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST",
            "city": "ITALY",
            "state": "TX",
            "postal_code": "766513517",
            "telephone_number": "972-393-0909",
            "fax_number": "817-635-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELMED HEALTH & WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "ASAH",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-227-5035",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Italy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.