Van Health and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VAN HEALTH AND WELLNESS

Practice address

2299 VZ County Road 4909
Ben Wheeler, TX 75754-4220

Phone

(903) 368-0414

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Constance Bentley, ANP-CNPI 1447243571

Title

Owner

Phone

(903) 368-0414

Specialties & licenses 1

Addresses

Other names 1

• Van Health and Wellness Other name

Electronic endpoints 1

Tax ID family

Van Family Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Van Health and Wellness, PLLC

  • Clinic/Center
  • Van, TX
  • NPI 1194482778
  NPD tax ID

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.

• Constance S Bentley, APRN

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1447243571
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1508521204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 VZ COUNTY ROAD 4909",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757544220",
            "telephone_number": "903-368-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 VZ COUNTY ROAD 4909",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757544220",
            "telephone_number": "903-368-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-368-0414",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connie@vanfamilymedical.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Van Family Medical",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "188 Louisiana St",
            "city": "Van",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757903596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Van Health and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashlea Elizabeth Perkins, LPC, LCDC,NCC
• Melinda Salem-Jackson, NCTMB, LMT, CMMT
• Cecilia Reyes Sanchez
• Noel Victoria Scott
• Chere L Tomayko, LVN

• Primary Care Clinic/Center in Ben Wheeler, TX
• Providers in Ben Wheeler, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.