New Waverly Wellness Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW WAVERLY WELLNESS CLINIC

Practice address

655 I-45 S Feeder Rd
New Waverly, TX 77358-4225

Phone

(832) 263-0834

NPI assigned

Aug 6, 2024

Organization subpart

Yes

Parent organization

ESSENTIAL IV THERAPY & AESTHETICSAs reported in NPPES

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

Authorized official

Name

Stefanie Krejci, FNPNPI 1366046328

Title

Nurse Practitioner

Phone

(832) 766-6041

Specialties & licenses 1

Addresses

Other names 1

• New Waverly Wellness Clinic Doing business as

Part of

New Waverly Wellness Clinic

Practitioners 1

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

• Stefanie Krejci

  • Family Nurse Practitioner
  • Huntsville, TX
  • NPI 1366046328
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1801626569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 I-45 S. FEEDER RD",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773584225",
            "telephone_number": "832-263-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 I-45 S FEEDER RD",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773584225",
            "telephone_number": "832-263-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVERLY WELLNESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIAL IV THERAPY & AESTHETICS",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "KREJCI",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-766-6041",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Waverly Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Mata, FNP-C
• Kelsey Lynn Mature
• Marianito Militante Militante
• Taryn Leigh Moore, ATC, LAT
• New Waverly Isd
• Kathryn Claire Ryan, ATC, LAT
• Ryzolve LLC
• Jesse Schneringer, D.C.
• Sugarfruit Properties, LLC
• The Raven School Gulf Coast Trade Center

• Clinic/Center in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.