NPIMap

Organization Active NPI

Testosterone and Wellness Centers of America

  • Family Nurse Practitioner
  • Keller, TX
National Provider Identifier
1508154998
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
677692 Issued in TX
Legal business name
TESTOSTERONE AND WELLNESS CENTERS OF AMERICA
Practice address
1540 Lost TRL
Keller, TX 76248-8421
Phone
(956) 650-0186
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Ivonne BraxtonNPI 1720374515
Title
FNP-BC
Phone
(956) 650-0186

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 677692 TX Primary

Addresses

Primary practice location

1540 Lost TRL
Keller, TX 76248-8421

Mailing address

1540 Lost TRL
Keller, TX 76248-8421
Phone (956) 650-0186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1508154998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LOST TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488421",
            "telephone_number": "956-650-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LOST TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488421",
            "telephone_number": "956-650-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTOSTERONE AND WELLNESS CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "956-650-0186"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "677692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.