Organization Active NPI

Lone Star Wellness Clinic PLLC

  • Family Nurse Practitioner
  • Bullard, TX
National Provider Identifier
1841174299
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LONE STAR WELLNESS CLINIC PLLC
Practice address
206 E Main St Ste 101
Bullard, TX 75757-5337
Phone
(903) 309-3805
NPI assigned
Jul 31, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Brittani Nicole Hernandez, FNP-CNPI 1295542546
Title
Owner
Phone
(903) 265-3395

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 Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

206 E Main St Ste 101
Bullard, TX 75757-5337

Mailing address

206 E Main St Ste 101
Bullard, TX 75757-5337
Phone (903) 265-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911001761 TX Part B Supplier - Clinic/Group Practice 8527561034 Receives reassigned benefits from 1 practitioner
Practice locations: Bullard, TX

National Provider Directory

National Provider Directory

Locations

206 E Main St
Ste 101
Bullard, TX 75757
Phone (903) 265-3395

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1841174299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST STE 101",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575337",
            "telephone_number": "903-265-3395",
            "fax_number": "903-993-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST STE 101",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575337",
            "telephone_number": "903-309-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRITTANI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-265-3395",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.