Rachel Lisle Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RACHEL LISLE WELLNESS

Practice address

4020 N Macarthur Blvd Ste 122 PMB 1110
Irving, TX 75038

Phone

(972) 922-6167

Fax

(888) 858-6905

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Hunter Walton Lisle

Title

Office Manager

Phone

(972) 922-6167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1639894967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122 PMB 1110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-922-6167",
            "fax_number": "888-858-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122 PMB 1110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "972-922-6167",
            "fax_number": "888-858-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL LISLE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "LISLE",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-922-6167"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeeshan Azeem Qureshi, M.D.
• R, Asher Henegar
• R. Mark Haman, D.O., P.a.
• Hodan M Rabile, DDS
• Rabilefamilydentistry P.C
• Misagh Rad
• Radiance Dentistry
• Radius Medical
• Susanna Louise Rafferty, LCSW
• Rafiq Hirji, DDS, PLLC

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.