Organization Active NPI

Anew Wellness, LLC

Doing business as Nederland Ave Family Wellness

  • Family Medicine Physician
  • Nederland, TX
National Provider Identifier
1790274462
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7946 Issued in TX
Legal business name
ANEW WELLNESS, LLC
Doing business as
Nederland Ave Family Wellness
Practice address
1005 Nederland Ave
Nederland, TX 77627
Phone
(409) 344-9935
NPI assigned
May 8, 2018
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Ashley Morgan
Title
Owner
Phone
(409) 344-9935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7946 TX Primary

Addresses

Primary practice location

1005 Nederland Ave
Nederland, TX 77627

Mailing address

1005 Nederland Ave
Nederland, TX 77627-2832
Phone (409) 344-9935

Other names 1

  • Nederland Ave Family Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1005 Nederland Ave
Nederland, TX 77627
Phone (409) 299-5288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1790274462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NEDERLAND AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776272832",
            "telephone_number": "409-344-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NEDERLAND AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "77627",
            "telephone_number": "409-344-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-344-9935"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nederland Ave Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.