Restore Primary Care, Wellness and Behavioral Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESTORE PRIMARY CARE, WELLNESS AND BEHAVIORAL HEALTH

Practice address

Parvus Medical Suite, LLC
Westover Hills Medical Plaza II Suite 240 11212 St Hwy
San Antonio, TX 78251

Phone

(210) 385-8306

NPI assigned

May 11, 2022

Last updated

May 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stella Williams, MSN, APRN, FNP-BC,

Title

Owner/FNP

Phone

(210) 385-8306

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Valentina Okechi, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1396225512
  Medicare reassignment Care Compare group NPD
• Stellamaris Williams, FNP-BC

  • Primary Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1306355375
  Medicare reassignment Care Compare group NPD
• Jobelle Morse

  • Family Nurse Practitioner
  • Cibolo, TX
  • NPI 1285401372
  Medicare reassignment
• Victoria Ofure Idehen, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Pflugerville, TX
  • NPI 1922860121
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1952047003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24103 RANGE WATER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612372",
            "telephone_number": "210-385-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARVUS MEDICAL SUITE, LLC",
            "address_2": "WESTOVER HILLS MEDICAL PLAZA II SUITE 240 11212 ST HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-385-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PRIMARY CARE, WELLNESS AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "210-385-8306",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, APRN, FNP-BC,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Parvus Medical Suite, LLC",
            "address_2": "Westover Hills Medical Plaza II Suite 240 11212 St Hwy",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Restore -Recover-Renew LLC (Grateful Hearts Counseling)
• Restore Behavioral Health, PLLC
• Restore Health Klinic
• Restore Massage
• Restore Primary Care, Wellness and Behavioral Health (Restore Primary Care, Wellness and Behavioral Health, PLLC)
• Restoring Balance, PLLC
• Restory Physical Therapy and Wellness LLC
• Juliana Lucia Restrepo Cala, MD, MPH
• Carlos Restrepo, MD
• Luz Marina Restrepo, PSY.D.

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.