NPIMap

Organization Active NPI

Bespoken Wellness PLLC

  • Internal Medicine Physician
  • Cedar Hill, TX
National Provider Identifier
1629807441
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BESPOKEN WELLNESS PLLC
Practice address
1010 E Parkerville Rd
Cedar Hill, TX 75104-7100
Phone
(469) 806-0857
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Naomi Waddy
Title
Senior Business Consultant
Phone
(703) 947-0382

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1010 E Parkerville Rd
Cedar Hill, TX 75104-7100

Mailing address

PO Box 74381
North Chesterfield, VA 23236-0007
Phone (703) 947-0382

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1629807441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74381",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232360007",
            "telephone_number": "703-947-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E PARKERVILLE RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047100",
            "telephone_number": "469-806-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKEN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "WADDY",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "SENIOR BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "703-947-0382"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.