Active NPI
Blessed Family Chiropractic, PLLC
- Health Maintenance Organization
- Georgetown, TX
National Provider Identifier
1558771790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 12578
- Legal business name
- BLESSED FAMILY CHIROPRACTIC, PLLC
- Practice address
- 101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208 - Phone
- (512) 868-6900
- Fax
- (512) 868-6995
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shauna Annie Wood, D.C
- Title
- Owner
- Phone
- (512) 876-3574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 12578 | TX | Primary |
Addresses
Primary practice location
101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208
Mailing address
101 W Cooperative Way
Suite 235
Georgetown, TX 78626-8208
Phone (512) 868-6900
National Provider Directory
National Provider DirectoryLocations
101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1558771790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W COOPERATIVE WAY",
"address_2": "SUITE 235",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268208",
"telephone_number": "512-868-6900",
"fax_number": "512-868-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W COOPERATIVE WAY",
"address_2": "SUITE 235",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268208",
"telephone_number": "512-868-6900",
"fax_number": "512-868-6995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSED FAMILY CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-28",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "SHAUNA",
"authorized_official_middle_name": "ANNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-876-3574",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "TX",
"license": "12578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.