Active NPI
Level Up Wellness
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1831910223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesus Ismael Irsula Pacheco, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1932559929
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.