Home Team Health and Wellness Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

680616 Issued in TX

Legal business name

HOME TEAM HEALTH AND WELLNESS CENTER

Practice address

1280 Tracy Dr
San Antonio, TX 78260-5702

Phone

(210) 846-4979

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Dusty R Wilkins, FNP-BC

Title

Provider/Owner

Phone

(210) 846-4979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1669833208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 THOUSAND OAKS DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322689",
            "telephone_number": "210-846-4979",
            "fax_number": "186-626-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 TRACY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782605702",
            "telephone_number": "210-846-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TEAM HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "210-846-4979",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "680616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Diabetic Supplies LLC
• Home Health Business Associates Inc
• Home Health Care Specialists, LLC
• Home Health Endeavors, LLC
• Home Health Innovations, Inc.
• Lance Troy Homec, OTR
• Homecare Companions Inc
• Homecare Dimensions, Inc.
• Homecare Dimensions, Inc.
• Homecare Support Group, Inc.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, 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 Mar 9, 2016; 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.