Boost Health and Wellness Clinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BOOST HEALTH AND WELLNESS CLINIC

Practice address

7070 Knights CT Ste 1004
Missouri City, TX 77459-4325

Phone

(281) 410-2210

Fax

(281) 410-2253

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Marie W Hackett, NURSE PRACTIONER

Title

Nurse/Owner

Phone

(281) 410-2210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1548049109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 KNIGHTS CT STE 1004",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594325",
            "telephone_number": "281-410-2210",
            "fax_number": "281-410-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 KNIGHTS CT STE 1004",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594325",
            "telephone_number": "281-410-2210",
            "fax_number": "281-410-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NURSE/OWNER",
        "authorized_official_telephone_number": "281-410-2210",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold H Boggs, LMFT, LCDC
• Abiodun Oladunni Boham
• Bold Spirit Counseling, PLLC
• Miriam Bolos
• Brenda Itzel Bonola
• Michelle Marie Borysko, B.S.P.
• Laura Perez Boudreaux, LPC
• Tammy Jo Boudreaux
• Emilia Bowers
• Ora L Boxie, RN, MA, CCC

• Adult Health Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.