Organization Active NPI

Agape Family First Health and Wellness Clinic, LLC

  • Primary Care Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1992318802
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
AGAPE FAMILY FIRST HEALTH AND WELLNESS CLINIC, LLC
Practice address
645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888
Phone
(210) 904-1166
Fax
(210) 362-1143
NPI assigned
Aug 28, 2020
Last updated
Jan 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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

Authorized official

Name
Ms. Angela Williams Mitchell, APRN
Title
Owner
Phone
(210) 904-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888

Mailing address

645 Woodland Oaks Dr Ste 300
Schertz, TX 78154-2888
Phone (210) 904-1166

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.agapefamilyfirsthealthandwellnessclinic.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1996 Schertz Pkwy
Ste 301
Schertz, TX 78154
Phone (210) 833-5969

645 Woodland Oaks Dr
Bldg 3
Schertz, TX 78154
Phone (210) 780-0053

645 Woodland Oaks Dr
Bldg 301
Schertz, TX 78154

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672531200000",
    "number": "1992318802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR STE 300",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542888",
            "telephone_number": "210-904-1166",
            "fax_number": "210-362-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR STE 300",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542888",
            "telephone_number": "210-904-1166",
            "fax_number": "210-362-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE FAMILY FIRST HEALTH AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-904-1166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.agapefamilyfirsthealthandwellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "645 Woodland Oaks Dr Ste 300",
            "city": "Schertz",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781542888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; 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.