Organization Active NPI

Primary Care and Wellness Clinic of Arlington, PLLC

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1821747163
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRIMARY CARE AND WELLNESS CLINIC OF ARLINGTON, PLLC
Practice address
3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728
Phone
(210) 840-7527
NPI assigned
Mar 23, 2022
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mr. Derek Harpole, APRNNPI 1235771874
Title
Owner
Phone
(210) 840-7527

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728

Mailing address

3825 W Green Oaks Blvd Ste 750
Arlington, TX 76016-2728
Phone (210) 840-7527

National Provider Directory

National Provider Directory

Locations

3825 W Green Oaks Blvd
Ste 750
Arlington, TX 76016
Phone (210) 840-7527

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1821747163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 W GREEN OAKS BLVD STE 750",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162728",
            "telephone_number": "210-840-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W GREEN OAKS BLVD STE 750",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162728",
            "telephone_number": "210-840-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND WELLNESS CLINIC OF ARLINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HARPOLE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-840-7527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.