Active NPI
Dreamluxxe Medspa & Wellness LLC
- Family Nurse Practitioner
- Grand Prairie, TX
National Provider Identifier
1568096816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DREAMLUXXE MEDSPA & WELLNESS LLC
- Practice address
- 5103 Magna Carta Blvd Ste 150
Grand Prairie, TX 75052-5234 - Phone
- (972) 639-3464
- Fax
- (469) 340-4080
- NPI assigned
- Feb 26, 2020
- 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
- Chinwem Nwonumah, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (972) 639-3464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5103 Magna Carta Blvd Ste 150
Grand Prairie, TX 75052-5234
Mailing address
7205 Wind Elm CT
Arlington, TX 76002-3877
Phone (972) 639-3464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2264432 | Dreamluxxe Medspa & Wellness | Certificate of waiver | Jul 13, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1053785634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1568096816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 WIND ELM CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760023877",
"telephone_number": "972-639-3464",
"fax_number": "817-400-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5103 MAGNA CARTA BLVD STE 150",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750525234",
"telephone_number": "972-639-3464",
"fax_number": "469-340-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMLUXXE MEDSPA & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "NWONUMAH",
"authorized_official_first_name": "CHINWEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-639-3464",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.