NPIMap

Organization Active NPI

Perseverance Heatlh Innovation LTD

Doing business as WellMobile

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1710411616
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
771216 Issued in TX
Legal business name
PERSEVERANCE HEATLH INNOVATION LTD
Doing business as
WellMobile
Practice address
21706 Willow Downs
Tomball, TX 77375
Phone
(832) 380-0216
Fax
(281) 745-4367
NPI assigned
Apr 18, 2017
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mrs. Kiersten Chantelle Williams-Bolton
Title
Ceo/Executive Director
Phone
(832) 380-0216

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 771216 TX Primary
Contractor 171W00000X N7983 TX
Community Health Worker 172V00000X 7397 TX

Addresses

Primary practice location

21706 Willow Downs
Tomball, TX 77375

Mailing address

24646 North Freeway 45 N.
200
Spring, TX 77386
Phone (832) 380-0216

Other names 1

  • WellMobile Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1710411616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24646 NORTH FREEWAY 45 N.",
            "address_2": "200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "832-380-0216",
            "fax_number": "281-745-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21706 WILLOW DOWNS",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "832-380-0216",
            "fax_number": "281-745-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEVERANCE HEATLH INNOVATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-BOLTON",
        "authorized_official_first_name": "KIERSTEN",
        "authorized_official_middle_name": "CHANTELLE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-380-0216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "771216",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "N7983",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "7397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellMobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.