Organization Active NPI

Woman'S Place for Optimal Wellness & Longevity LLC

  • Women's Health Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1740929959
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
WOMAN'S PLACE FOR OPTIMAL WELLNESS & LONGEVITY LLC
Practice address
4304 N McColl Rd
McAllen, TX 78504-2477
Phone
(956) 686-3900
Fax
(956) 686-3323
NPI assigned
Jun 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Norma Somohano-Mendiola, DNP, APRN, WHNP-BCNPI 1942608963
Title
Nurse Practitioner
Phone
(956) 686-3900

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
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

4304 N McColl Rd
McAllen, TX 78504-2477

Mailing address

4304 N McColl Rd
McAllen, TX 78504-2477
Phone (956) 686-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622000143 TX Part B Supplier - Clinic/Group Practice 1254710213 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2266089Women'S Place for Optimal Wellness & Longevity LLC4304 McColl Road, McAllen, TX 78504Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

4304 N McColl Rd
McAllen, TX 78504
Phone (956) 686-3900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1740929959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042477",
            "telephone_number": "956-686-3900",
            "fax_number": "956-686-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042477",
            "telephone_number": "956-686-3900",
            "fax_number": "956-686-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S PLACE FOR OPTIMAL WELLNESS & LONGEVITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "SOMOHANO-MENDIOLA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-686-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.