Western Wellness & Aesthetics LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

WESTERN WELLNESS & AESTHETICS LLC

Practice address

4510 Stonewall St
Greenville, TX 75401-5952

Phone

(903) 401-9123

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Johnnie Rebbecca Harris, PHD, MSN/MHA, RNNPI 1164319299

Title

Owner, Aesthetic Nurse

Phone

(903) 401-9123

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.

• Johnnie Rebbecca Harris, PHD, MSN/MHA, RN

  • Wound Care Registered Nurse
  • Greenville, TX
  • NPI 1164319299
  NPD Authorized official

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1598653552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 COUNTY ROAD 16500",
            "city": "DEPORT",
            "state": "TX",
            "postal_code": "754355217",
            "telephone_number": "903-401-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 STONEWALL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015952",
            "telephone_number": "903-401-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WELLNESS & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "REBBECCA",
        "authorized_official_title_or_position": "OWNER, AESTHETIC NURSE",
        "authorized_official_telephone_number": "903-401-9123",
        "authorized_official_credential": "PHD, MSN/MHA, RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent S. Wehner, D.D.S.
• Jessica Weido, DO
• Wellgen Health System Inc
• Wesley Dental Group PLLC
• Wesley MRI, Associates, LTD
• Stanley W Whisenant, MD
• White Ibis Inpatient Services, PLLC
• Ruth Whitely, PHD, LPC-S, NCC
• Kristi Whitenton, DO
• Riley Wiebe, OTR/L

• Wound Care Registered Nurse in Greenville, TX
• Providers in Greenville, TX by specialty
• Wound Care Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.