Active NPI
Wholelife H Family Practice PLLC
- Primary Care Nurse Practitioner
- Southlake, TX
National Provider Identifier
1720909609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- WHOLELIFE H FAMILY PRACTICE PLLC
- Practice address
- 1560 E Southlake Blvd Ste 100
Southlake, TX 76092-6462 - Phone
- (682) 392-0009
- NPI assigned
- Jul 24, 2026
- 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
- Anne N Mutua, FNP
- Title
- Nurse Practitioner
- Phone
- (956) 336-6384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1560 E Southlake Blvd Ste 100
Southlake, TX 76092-6462
Mailing address
1560 E Southlake Blvd Ste 100
Southlake, TX 76092-6462
Phone (682) 392-0009
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1720909609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926462",
"telephone_number": "682-392-0009",
"fax_number": "641-323-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926462",
"telephone_number": "682-392-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLELIFE H FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "MUTUA",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "956-336-6384",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.