NPIMap

Organization Active NPI

PPW

  • Other Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1831806868
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
PPW
Practice address
13140 Coit Rd
Unit #518
Dallas, TX 75240
Phone
(469) 783-6119
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Jennifer C Shotwell, LPCNPI 1720587173
Title
President
Phone
(713) 557-8430

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
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

13140 Coit Rd
Unit #518
Dallas, TX 75240

Mailing address

8604 Turtle Creek Blvd Unit 12763
Dallas, TX 75225-4755

Other names 1

  • Pathology Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

13140 Coit Rd
Ste 518
Dallas, TX 75240
Phone (469) 330-7378

8604 Turtle Creek Blvd
Unit 12763
Dallas, TX 75225

Practitioners & affiliated clinicians

Practitioners 7

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": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1831806868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 TURTLE CREEK BLVD UNIT 12763",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD",
            "address_2": "UNIT #518",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "469-783-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-557-8430",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.