Lakehill Preparatory School: Health and Wellness Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

LAKEHILL PREPARATORY SCHOOL: HEALTH AND WELLNESS CENTER

Practice address

2720 Hillside Dr
Dallas, TX 75214-3429

Phone

(214) 826-2931

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Nickell, PHYSICIAN ASSISTANTNPI 1619301561

Title

Health and Wellness Director

Phone

(214) 826-2931

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Nickell, MPAS, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1619301561
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1578285540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 HILLSIDE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143429",
            "telephone_number": "214-826-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 HILLSIDE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143429",
            "telephone_number": "214-826-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEHILL PREPARATORY SCHOOL: HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "HEALTH AND WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "214-826-2931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake June SRGM PLLC
• Lake Meadow Dental Group PLLC
• Lake Time Crna
• Amy Lake
• Kimberly J Lake, DDS
• Lakeshia Kijuan Ealy
• Lakeshore Anesthesia Group, PLLC
• Lakeshore Healthcare Services, Inc.
• Lakeshore Medical Supplies, Inc.
• Lakeview ENT, PA

• Student Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Student Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.