Organization Active NPI

Mybliss Wellness LLC

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1407642499
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MYBLISS WELLNESS LLC
Practice address
202 S Tyler St
Dallas, TX 75208-4933
Phone
(512) 466-2916
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Patience EffangaNPI 1457607780
Title
Owner
Phone
(512) 466-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

202 S Tyler St
Dallas, TX 75208-4933

Mailing address

457 Washington Ave
Waxahachie, TX 75165-1785

National Provider Directory

National Provider Directory

Locations

202 S Tyler St
Dallas, TX 75208
Phone (512) 466-2916

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1407642499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 WASHINGTON AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S TYLER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084933",
            "telephone_number": "512-466-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBLISS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "EFFANGA",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-466-2916"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.