Active NPI
Park Cities Wellness Plus LLC
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1477073807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- PARK CITIES WELLNESS PLUS LLC
- Practice address
- 6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498 - Phone
- (469) 620-0445
- Fax
- (469) 620-0446
- NPI assigned
- Jun 27, 2017
- 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
- Celia Dolinta
- Title
- Owner
- Phone
- (469) 620-0445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498
Mailing address
6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498
Phone (469) 620-0445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194573501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6211 W Northwest Hwy
Ste C255
Dallas, TX 75225
Phone (469) 620-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1477073807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 W NORTHWEST HWY STE C255",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253498",
"telephone_number": "469-620-0445",
"fax_number": "469-620-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 W NORTHWEST HWY STE C255",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253498",
"telephone_number": "469-620-0445",
"fax_number": "469-620-0446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK CITIES WELLNESS PLUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DOLINTA",
"authorized_official_first_name": "CELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-620-0445"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194573501",
"state": "TX"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.