Individual provider Active NPI

Diana Lynn Wells, LVN

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1962854901
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
203428 Issued in TX
Practice address
7428 Park Place Blvd
Houston, TX 77087-4442
Phone
(713) 645-6303
Fax
(713) 643-2967
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 203428 TX Primary

Addresses

Primary practice location

7428 Park Place Blvd
Houston, TX 77087-4442

Mailing address

7428 Park Place Blvd
Houston, TX 77087-4442
Phone (713) 645-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203428TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas American Medical Consultants Inc PastSince Jan 12, 2020 Accepting new patients
Houston Substance Abuse Clinic, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1962854901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-645-6303",
            "fax_number": "713-643-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-645-6303",
            "fax_number": "713-643-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "203428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.