Organization Active NPI

Family First Care Clinic PLLC

  • Family Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1487826087
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
748540 Issued in TX
Legal business name
FAMILY FIRST CARE CLINIC PLLC
Practice address
645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888
Phone
(210) 904-1166
Fax
(210) 362-1143
NPI assigned
Mar 24, 2008
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ms. Angela Williams Mitchell, FNP
Title
Owner
Phone
(210) 780-0053

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X M2646 TX
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 748540 TX Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 677222 TX

Addresses

Primary practice location

645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888

Mailing address

645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888
Phone (210) 904-1166

Other practice location 1

9135 Schaefer Road
Suite 4
Converse, TX 78109-1900
Phone (210) 281-5507

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL agapefamilyfirsthealthandwellnessclinic.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9303/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1487826087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR STE 300",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542888",
            "telephone_number": "210-904-1166",
            "fax_number": "210-362-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR STE 300",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542888",
            "telephone_number": "210-904-1166",
            "fax_number": "210-362-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 Schaefer Road",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781091900",
            "country_code": "US",
            "telephone_number": "210-281-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2023-09-06",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-780-0053",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "748540",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "677222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "agapefamilyfirsthealthandwellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "645 Woodland Oaks Dr Ste 300",
            "city": "Schertz",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781542888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.