Active NPI
Wellness in Sleep PA
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
National Provider Identifier
1720107048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- WELLNESS IN SLEEP PA
- Practice address
- 908 W Terrell Ave N
Fort Worth, TX 76104-3034 - Phone
- (817) 820-0427
- Fax
- (271) 820-0430
- NPI assigned
- Mar 28, 2007
- 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
- Ann C Reynolds
- Title
- VP
- Phone
- (817) 820-0427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
908 W Terrell Ave N
Fort Worth, TX 76104-3034
Mailing address
908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone (817) 820-0427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568401594 | Other | TX | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
431 Omega Dr
Ste 102
Arlington, TX 76014
8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557
7500 Preston Rd
Ste 100
Plano, TX 75024
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Family Medicine) Physician
- Dallas, TX
- NPI 1477588200
-
- Physician Assistant
- Irving, TX
- NPI 1174883938
-
- Physician Assistant
- Fort Worth, TX
- NPI 1548745938
-
- Physician Assistant
- Fort Worth, TX
- NPI 1841816964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1720107048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 W TERRELL AVE N",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043034",
"telephone_number": "817-820-0427",
"fax_number": "271-820-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W TERRELL AVE N",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043034",
"telephone_number": "817-820-0427",
"fax_number": "271-820-0430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS IN SLEEP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "817-820-0427"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568401594",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.