AGRARIAN WELLNESS, LLC (NPI# 1174035778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174035778 |
Entity Type | Organization |
Organization Name | AGRARIAN WELLNESS, LLC |
Practice Address |
17000 El Camino Real Ste 209 Houston TX 77058 |
Mailing Address |
17000 El Camino Real Ste 209 Houston TX 77058-2633 |
Practice Telephone | 8322844328 |
Practice Fax Number | 8322844728 |
Mailing Telephone | 8322844328 |
Mailing Fax Number | 8322844728 |
Enumeration Date | 2017-11-04 |
Last Update Date | 2018-06-06 |
Authorized Official Name | LATIA HICKERSON (OWNER) |
Authorized Official Telephone | 8329306345 |
Authorized Official Credential | PHD, MPH, APRN, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers | ||
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
202 Woodcombe Dr, Houston, TX 770622538 | 3867475511 |
Street Address |
17000 EL CAMINO REAL STE 209 |
City | HOUSTON |
State | TX |
Zip Code | 77058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
1982095022 | Echomed Distributors, LLC | Durable Medical Equipment & Medical Supplies | 16840 Buccaneer Ln Ste 242, Houston, TX 77058 | 2015-02-11 |
Find all providers in zip 77058 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235600164 | Emily Medley | Nurse Practitioner | 2652 Westgate St, Houston, TX 77098-1412 | 2018-12-17 |
1760962526 | Jasmine J Sacus | Nurse Practitioner | 5800 Bellaire Blvd., Bldg. 1b, Ste. 120, Houston, TX 77081-5537 | 2018-08-20 |
1063892107 | Sherill D. Kennedy | Nurse Practitioner | 2617 W Holcombe Blvd, Houston, TX 77025-1757 | 2015-06-03 |
1700144623 | Sylvia Ann Poe-velasco | Nurse Practitioner | 6400 Fannin St Ste 1900, Houston, TX 77030-1528 | 2012-04-28 |
1093082158 | Rachel Alline Naegeli | Nurse Practitioner | 4600 Gulf Fwy Ste 100, Houston, TX 77023-3548 | 2011-11-17 |
1689963720 | Narmadha Peter | Nurse Practitioner | 807 Orchard Peak Ct, Houston, TX 77062-2167 | 2011-03-29 |
1356503353 | Lesley Nichole Launikitis | Nurse Practitioner | 3601 Fannin St, Houston, TX 77004-3913 | 2008-06-30 |
1932394541 | Sara M Dean | Nurse Practitioner | 6651 Main St Ste F420, Houston, TX 77030 | 2007-09-07 |
1336218981 | Rebecca Sue Runyan Dowdy | Nurse Practitioner | 15003 Fm 529 Rd, Ste A, Houston, TX 77095-4375 | 2006-11-07 |
1255419644 | Deallen Burse | Nurse Practitioner | 14412 Jasmine Terrace Ln, Houston, TX 77047-2979 | 2006-11-01 |
Find all providers in HOUSTON |
Please comment or provide details below to improve the information on AGRARIAN WELLNESS, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.