Wellness Integrative Health LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

WELLNESS INTEGRATIVE HEALTH LLC

Practice address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Phone

(469) 352-2259

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Quinta FonkwaNPI 1417722695

Title

Nurse Practitioner

Phone

(469) 352-2259

Specialties & licenses 1

Addresses

Other names 1

• SOW HealthCare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Quinta Fonkwa

  • Gerontology Nurse Practitioner
  • Dallas, TX
  • NPI 1417722695

  Clinic/Center

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1922835529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 COLLIN MCKINNEY PKWY STE 500",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701524",
            "telephone_number": "469-352-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "469-352-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "FONKWA",
        "authorized_official_first_name": "QUINTA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-352-2259",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOW HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOW HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellmed Medical Group, P.a.
• Wellmed Medical Group, P.a.
• Brandy D Wellmon, MS
• Wellness and Equity Alliance
• Wellness Dental,P.C.
• Wellness Matters PC
• Wellness Matters Two
• Wellness Med Clinics LLC
• Wellness Path Counseling PLLC
• Wellness Within Mental Health

• Gerontology Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.