Wall Wellness & Associates LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WALL WELLNESS & ASSOCIATES LLC

Practice address

6646 Gary Rd Ste a
Byram, MS 39272-9718

Phone

(601) 281-5357

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Loretta Wall, DNPNPI 1851879761

Title

Owner

Phone

(817) 247-0034

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Loretta Wall, DNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1851879761
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1447029558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 GARY RD STE A",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729718",
            "telephone_number": "601-281-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL WELLNESS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-247-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Help
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• Suzanne Sutterfield Walters, OTR/L
• Kevin Tyrone Wansley Sr., NP
• Chantae Ward, OTR/L
• Kesha Davis Waterman, LPC
• Wee Care Assisted Living, LLC

• Health Service Clinic/Center in Byram, MS
• Providers in Byram, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.