NPIMap

Organization Active NPI

Share Wellness Medical Clinic PLLC

Doing business as Share Wellness Urgent Medical Clinic

  • Urgent Care Clinic/Center
  • Cedar Hill, TX
National Provider Identifier
1902158009
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
N2485 Issued in TX
Legal business name
SHARE WELLNESS MEDICAL CLINIC PLLC
Doing business as
Share Wellness Urgent Medical Clinic
Practice address
415 E Pleasant Run Rd
Suite 125
Cedar Hill, TX 75104-1875
Phone
(972) 293-9660
Fax
(972) 293-9669
NPI assigned
Oct 12, 2012
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Nicole Michelle Ellison, M. D.NPI 1013013721
Title
President
Phone
(501) 837-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X N2485 TX Primary

Addresses

Primary practice location

415 E Pleasant Run Rd
Suite 125
Cedar Hill, TX 75104-1875

Mailing address

415 E Pleasant Run Rd
Suite 125
Cedar Hill, TX 75104-1875
Phone (972) 293-9660

Other names 1

  • Share Wellness Urgent Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

415 E Pleasant Run Rd
Ste 125
Cedar Hill, TX 75104
Phone (972) 293-9660

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": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1902158009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E PLEASANT RUN RD",
            "address_2": "SUITE 125",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041875",
            "telephone_number": "972-293-9660",
            "fax_number": "972-293-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E PLEASANT RUN RD",
            "address_2": "SUITE 125",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041875",
            "telephone_number": "972-293-9660",
            "fax_number": "972-293-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE WELLNESS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-837-3680",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "N2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Share Wellness Urgent Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.