Organization Active NPI

Wimberley Wellness PLLC

  • Family Medicine Physician
  • Wimberley, TX
National Provider Identifier
1437685880
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WIMBERLEY WELLNESS PLLC
Practice address
14100 Ranch Road 12
Unit 900
Wimberley, TX 78676-5354
Phone
(512) 842-3316
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Erin De Hoyos, CPCS
Title
Director of Credentialing
Phone
(806) 848-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14100 Ranch Road 12
Unit 900
Wimberley, TX 78676-5354

Mailing address

PO Box 94534
Lubbock, TX 79493-4534
Phone (806) 848-4570

National Provider Directory

National Provider Directory

Locations

14100 Ranch Road 12
Wimberley, TX 78676
Phone (512) 847-5109

700 W Summit Dr
Wimberley, TX 78676
Phone (512) 413-6295

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": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1437685880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94534",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794934534",
            "telephone_number": "806-848-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12",
            "address_2": "UNIT 900",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765354",
            "telephone_number": "512-842-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMBERLEY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "DE HOYOS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "806-848-4570",
        "authorized_official_credential": "CPCS"
    },
    "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 Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.