NPIMap

Organization Active NPI

Wildflower Telehealth Network Inc.

  • Lactation Consultant (Non-RN)
  • Dallas, TX
National Provider Identifier
1548096258
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
WILDFLOWER TELEHEALTH NETWORK INC.
Practice address
1999 Bryan St Ste 900
Dallas, TX 75201-3140
Phone
(516) 480-9100
NPI assigned
Sep 10, 2024
Organization subpart
Yes
Parent organization
WILDFLOWER TELEHEALTH NETWORK INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Nash Prince
Title
SVP Growth
Phone
(516) 480-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

1999 Bryan St Ste 900
Dallas, TX 75201-3140

Mailing address

2443 Fillmore St # 380-6499
San Francisco, CA 94115-1814
Phone (516) 480-9100

Other names 1

  • Wildflower Telehealth Network of Texas Other name

National Provider Directory

National Provider Directory
Tax ID family
Wildflower Telehealth Network Inc13 organizations share this tax ID, including this one
Part of
Wildflower Telehealth Network Inc

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1548096258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FILLMORE ST # 380-6499",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "516-480-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 BRYAN ST STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013140",
            "telephone_number": "516-480-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER TELEHEALTH NETWORK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILDFLOWER TELEHEALTH NETWORK INC.",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "NASH",
        "authorized_official_title_or_position": "SVP GROWTH",
        "authorized_official_telephone_number": "516-480-9100"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Telehealth Network of Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 10, 2024; 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.