Organization Active NPI

Level Up Wellness

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1831910223
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEVEL UP WELLNESS
Practice address
8200 Wilcrest Dr Ste 20
Houston, TX 77072-4338
Phone
(346) 971-7022
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Jesus Ismael Irsula Pacheco, FNPNPI 1932559929
Title
Family Nurse Practicioner
Phone
(346) 971-7022

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8200 Wilcrest Dr Ste 20
Houston, TX 77072-4338

Mailing address

6921 Black Wing Dr
Fort Worth, TX 76137-2363
Phone (346) 971-7022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1831910223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 BLACK WING DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372363",
            "telephone_number": "346-971-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WILCREST DR STE 20",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724338",
            "telephone_number": "346-971-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "IRSULA PACHECO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "ISMAEL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTICIONER",
        "authorized_official_telephone_number": "346-971-7022",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.