Organization Active NPI

Wilna Springs LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, TX
National Provider Identifier
1740936376
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WILNA SPRINGS LLC
Practice address
2617 Fair Oaks Ave
Midlothian, TX 76065-5986
Phone
(817) 630-6003
Fax
(817) 549-1827
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Wilfred Suleiman, NP
Title
Owner
Phone
(316) 993-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2617 Fair Oaks Ave
Midlothian, TX 76065-5986

Mailing address

2617 Fair Oaks Ave
Midlothian, TX 76065-5986
Phone (817) 630-6003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1740936376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 FAIR OAKS AVE",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655986",
            "telephone_number": "817-630-6003",
            "fax_number": "817-549-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 FAIR OAKS AVE",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655986",
            "telephone_number": "817-630-6003",
            "fax_number": "817-549-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILNA SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "SULEIMAN",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-993-4541",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.