Elite Wellness and Weight Loss

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE WELLNESS AND WEIGHT LOSS

Practice address

100 W Southlake Blvd
Ste 180
Southlake, TX 76092-6100

Phone

(817) 953-0940

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Karrie Cook

Title

Owner

Phone

(817) 953-0940

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1851796932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD",
            "address_2": "STE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926100",
            "telephone_number": "817-953-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SOUTHLAKE BLVD",
            "address_2": "STE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926100",
            "telephone_number": "817-953-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS AND WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-953-0940"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care Inc.
• Elite PA Surgical Assists, PLLC
• Elite Surgical Solutions PLLC
• Elite View Imaging, LLC
• Elite View Imaging, LLC
• Elixir 360 Health
• Cassie Ellinger
• Jennifer D Elliott, M.S., L.P.C.
• Shelley Kay Gore Elliott, MS, LPC
• Allison Ellis, LMFT-ASSOCIATE

• General Practice Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.