NPIMap

Individual provider Active NPI

Vilma Azucena Wheeler, CNIM, REP.T

  • Electroneurodiagnostic Specialist/Technologist
  • Porter, TX
National Provider Identifier
1649529280
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
22841 Colorado Dr
Porter, TX 77365-3635
Phone
(713) 832-3322
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X
EEG Technician 2472E0500X
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

22841 Colorado Dr
Porter, TX 77365-3635

Mailing address

22841 Colorado Dr
Porter, TX 77365-3635
Phone (713) 832-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Iom Pro, LLC Current Accepting new patients
Optimum Iom Tech, LLC Electroneurodiagnostic Current Accepting new patients
MBB Neuromonitoring LLC Electroneurodiagnostic Past Accepting new patients
MBB Monitoring LLC PastSince Jul 1, 2022 Accepting new patients

Locations

3526 Lakeview Pkwy
Ste B132
Rowlett, TX 75088
Phone 97241252991000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1649529280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22841 COLORADO DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653635",
            "telephone_number": "713-832-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22841 COLORADO DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653635",
            "telephone_number": "713-832-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "VILMA",
        "middle_name": "AZUCENA",
        "name_prefix": "Mrs.",
        "credential": "CNIM, REP.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.