Wholistic Healthcare Solutions: Mind, Body & Spirit, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP124137 Issued in TX

Legal business name

WHOLISTIC HEALTHCARE SOLUTIONS: MIND, BODY & SPIRIT, PLLC

Doing business as

PediAdults (Pediatrics & Adults) After Hours Clinic

Practice address

1350 Northwest Hwy Ste 105
Garland, TX 75041-5844

Phone

(972) 896-9501

Fax

(469) 899-1275

NPI assigned

Jun 22, 2017

Last updated

Sep 6, 2022By 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

Jacqueline Davis, FNP-CNPI 1801220488

Title

RN

Phone

(972) 896-9501

Specialties & licenses 1

Addresses

Other names 1

• PediAdults (Pediatrics & Adults) After Hours Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jacqueline Lurece Davis, RN, FNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1801220488
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1568982304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NORTHWEST HWY STE 105",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415844",
            "telephone_number": "972-896-9501",
            "fax_number": "469-899-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NORTHWEST HWY STE 105",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415844",
            "telephone_number": "972-896-9501",
            "fax_number": "469-899-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6309 Fallbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750435920",
            "country_code": "US",
            "telephone_number": "972-896-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 E Pleasant Run Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751153500",
            "country_code": "US",
            "telephone_number": "972-896-9501",
            "fax_number": "469-899-1275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLISTIC HEALTHCARE SOLUTIONS: MIND, BODY & SPIRIT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "972-896-9501",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP124137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PediAdults (Pediatrics & Adults) After Hours Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elizabeth Blackburn White
• Melinda White, M.S., CF-SLP
• Whitewing Dental of Garland PLLC
• Gracie Whitley, PT
• Kate Elizabeth Lee Whitley, LPC
• Laura Elizabeth Wiese, O.D.
• Robert Gustav Wiese, D.D.S.
• Jayne Wiggins, MS, RD, LD, CDE
• Jessica Wihowski, WHNP
• Wilcare Hospice LLC

• Family Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.