Organization Active NPI

Wellness Elite Health Partners, LLC

  • Long-Term Care Clinical Nurse Specialist
  • Ft Worth, TX
National Provider Identifier
1841973146
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
Legal business name
WELLNESS ELITE HEALTH PARTNERS, LLC
Practice address
8713 Airport Fwy Ste 310
Ft Worth, TX 76180-7608
Phone
(214) 729-9033
Fax
(817) 345-0671
NPI assigned
Aug 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mrs. Lacresha Quwanish CarsonNPI 1285201582
Title
Nurse Practitioner
Phone
(903) 701-8032

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Long-Term Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SL0600X Primary

Addresses

Primary practice location

8713 Airport Fwy Ste 310
Ft Worth, TX 76180-7608

Mailing address

8713 Airport Fwy Ste 310
Ft Worth, TX 76180-7608
Phone (972) 836-6347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922001938 TX Part B Supplier - Clinic/Group Practice 6002260197 Receives reassigned benefits from 3 practitioners
Practice locations: Ft Worth, TX

National Provider Directory

National Provider Directory

Locations

8205 Camp Bowie West Blvd
Ste 204
Ft Worth, TX 76116
Phone (682) 444-8647

Practitioners & affiliated clinicians

Practitioners 3

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": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1841973146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 AIRPORT FWY STE 310",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761807608",
            "telephone_number": "972-836-6347",
            "fax_number": "817-345-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 AIRPORT FWY STE 310",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761807608",
            "telephone_number": "214-729-9033",
            "fax_number": "817-345-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ELITE HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_middle_name": "QUWANISH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-701-8032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.