NPIMap

Organization Active NPI

Hometown Wellness, PLLC

  • Health & Wellness Coach
  • Needville, TX
National Provider Identifier
1750115481
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
HOMETOWN WELLNESS, PLLC
Practice address
16203 Highway 36
Needville, TX 77461-9320
Phone
(346) 251-4501
Fax
(346) 253-1367
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Melinda M Jernigan, RNNPI 1659119881
Title
Owner
Phone
(346) 251-4551

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
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

16203 Highway 36
Needville, TX 77461-9320

Mailing address

16203 Highway 36
Needville, TX 77461-9320
Phone (346) 251-4501

National Provider Directory

National Provider Directory

Locations

16203 Highway 36
Needville, TX 77461
Phone (346) 251-4501

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": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1750115481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16203 HIGHWAY 36",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774619320",
            "telephone_number": "346-251-4501",
            "fax_number": "346-253-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16203 HIGHWAY 36",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774619320",
            "telephone_number": "346-251-4501",
            "fax_number": "346-253-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-251-4551",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.