Organization Active NPI

Nourished Medspa and Wellness Center, LLC

  • General Practice Physician
  • Sherman, TX
National Provider Identifier
1689149734
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NOURISHED MEDSPA AND WELLNESS CENTER, LLC
Practice address
1043 Ridgeview Dr
Sherman, TX 75090-5192
Phone
(903) 818-3467
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Dr. Jason Andrew Carter, MDNPI 1376712935
Title
Physician Owner
Phone
(903) 818-3467

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1043 Ridgeview Dr
Sherman, TX 75090-5192

Mailing address

1043 Ridgeview Dr
Sherman, TX 75090-5192
Phone (903) 818-3467

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1689149734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 RIDGEVIEW DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905192",
            "telephone_number": "903-818-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 RIDGEVIEW DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905192",
            "telephone_number": "903-818-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED MEDSPA AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "903-818-3467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.