Ben Wheeler Family Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BEN WHEELER FAMILY CLINIC LLC

Practice address

11735 FM 773
Ben Wheeler, TX 75754-6400

Phone

(715) 781-5358

Fax

(877) 264-8834

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Deiss, FNPNPI 1437890449

Title

Owner/FNP

Phone

(715) 781-5358

Specialties & licenses 1

Addresses

Locations

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.

• Emily Deiss, CNP

  • Family Nurse Practitioner
  • Ben Wheeler, TX
  • NPI 1437890449
  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1821817032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 FM 773",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757546400",
            "telephone_number": "715-781-5358",
            "fax_number": "877-264-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FM 773",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757546400",
            "telephone_number": "715-781-5358",
            "fax_number": "877-264-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN WHEELER FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "DEISS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "715-781-5358",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saci Jean Davila
• Emily Deiss, CNP
• Katherine Dykes
• Candice Fabbri
• Alexandria Nicole Grigsby, LCDC

• Family Nurse Practitioner in Ben Wheeler, TX
• Providers in Ben Wheeler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.