Active NPI
Walter J Family and Wellness Clinic PLLC
- Family Nurse Practitioner
- Pearland, TX
National Provider Identifier
1649998675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WALTER J FAMILY AND WELLNESS CLINIC PLLC
- Practice address
- 3129 Kingsley Dr Ste 1630
Pearland, TX 77584-8510 - Phone
- (832) 400-2118
- Fax
- (832) 400-2119
- NPI assigned
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith N. Onyechefuna, MSN, APRN, FNP-BC
- Title
- Owner of Entity
- Phone
- (281) 788-8103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3129 Kingsley Dr Ste 1630
Pearland, TX 77584-8510
Mailing address
9115 FM 723 Rd Ste 500
Richmond, TX 77406-9235
Phone (832) 400-2118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3129 Kingsley Dr
Ste 1630
Pearland, TX 77584
Phone (832) 400-2118
9115 FM 723 Rd
Ste 500
Richmond, TX 77406
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1811388663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1649998675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9115 FM 723 RD STE 500",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774069235",
"telephone_number": "832-400-2118",
"fax_number": "832-400-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 KINGSLEY DR STE 1630",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848510",
"telephone_number": "832-400-2118",
"fax_number": "832-400-2119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER J FAMILY AND WELLNESS CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "ONYECHEFUNA",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "281-788-8103",
"authorized_official_credential": "MSN, APRN, FNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.