Organization Active NPI

Enlightened Weigh Wellness, Inc

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1831675396
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENLIGHTENED WEIGH WELLNESS, INC
Practice address
22167 Westheimer Pkwy Ste 105
Katy, TX 77450-8301
Phone
(281) 305-0735
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Mrs. Dana C Coleman
Title
Operations Manager/ Franchisee
Phone
(281) 305-0735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

22167 Westheimer Pkwy Ste 105
Katy, TX 77450-8301

Mailing address

22167 Westheimer Pkwy Ste 105
Katy, TX 77450-8301
Phone (281) 305-0735

Other names 1

  • Medi Weightloss Katy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2109861Medi Weightloss22167 Westheimer Pkwy Ste 105, Katy, TX 77450Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1831675396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-305-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-305-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED WEIGH WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPERATIONS MANAGER/ FRANCHISEE",
        "authorized_official_telephone_number": "281-305-0735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Katy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi Weightloss Katy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.