Premier Wellness Clinics PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER WELLNESS CLINICS PLLC

Practice address

2601 Little Elm Pkwy Ste 1204
Little Elm, TX 75068-1921

Phone

(972) 292-0300

Fax

(973) 292-0301

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Khalida Yasmin, MDNPI 1306842216

Title

Medical Director

Phone

(973) 693-3677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalida N/a Yasmin, M.D.

  • Family Medicine Physician
  • Little Elm, TX
  • NPI 1306842216
  Medicare reassignment NPD Authorized official
• Iliza Shrestha

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1013603067
  Medicare reassignment NPD
• Paige Fernandez, FNP

  • Family Nurse Practitioner
  • Little Elm, TX
  • NPI 1275234437
  NPD
• Sarah Azim Khan-Atif, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Frisco, TX
  • NPI 1376802819
  NPD
• Tanya Barrera

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1700696788
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1891349262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1204",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681921",
            "telephone_number": "972-292-0300",
            "fax_number": "973-292-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 1204",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681921",
            "telephone_number": "972-292-0300",
            "fax_number": "973-292-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "YASMIN",
        "authorized_official_first_name": "KHALIDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-693-3677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Wellness Urgent Care Clinic PLLC
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• Prorxcare Inc

• Multi-Specialty Clinic/Center in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.