Active NPI
Liberty Family Care and Wellness PLLC
- Family Medicine Physician
- Rowlett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIBERTY FAMILY CARE AND WELLNESS PLLC
- Practice address
- 8701 Liberty Grove Rd Ste 100
Rowlett, TX 75089-2305 - Phone
- (972) 408-6433
- NPI assigned
- Jul 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Cervantes, APRN
- Title
- Manager
- Phone
- (972) 348-0046
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8701 Liberty Grove Rd Ste 100
Rowlett, TX 75089-2305
Mailing address
8701 Liberty Grove Rd Ste 100
Rowlett, TX 75089-2305
Phone (972) 348-0046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2287653 | Liberty Family Care & Wellness | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
8701 Liberty Grove Rd
Ste 100
Rowlett, TX 75089
Phone (972) 348-0046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rowlett, TX
- NPI 1255879698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1417636770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 LIBERTY GROVE RD STE 100",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750892305",
"telephone_number": "972-348-0046",
"fax_number": "972-257-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 LIBERTY GROVE RD STE 100",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750892305",
"telephone_number": "972-408-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY FAMILY CARE AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-13",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "CERVANTES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-348-0046",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.