FIRST WELLNESS (NPI# 1669666400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669666400 |
| Entity Type | Organization |
| Organization Name | FIRST WELLNESS |
| Other Organization Name | AUSTIN OPTIMAL WELLNESS |
| Practice Address |
7739 Northcross Dr Suite J Austin TX 78757-1700 |
| Practice Telephone | 5124519655 |
| Practice Fax Number | 5123809599 |
| Mailing Telephone | 5124519655 |
| Mailing Fax Number | 5123809599 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DR. JACK HUNTER OWEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5124519655 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8629 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0022JQ | 01 |
| Other Name | Type Code |
|---|---|
| Austin Optimal Wellness | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | First Wellness Center LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | First Wellness Counseling Services LLC | 7146 Brandy Hill Ter Apt 303, Mechanicsville, Virginia 23111 |
| Street Address |
7739 NORTHCROSS DR SUITE J |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057833 | Bradford B Melancon | Audiologist-Hearing Aid Fitter | 7739 Northcross Dr, Suite U, Austin, TX 78757-1700 | 2005-10-19 |
| 1821523465 | Emmetropia LLC | Technician/Technologist | 7739 Northcross Dr, Suite T, Austin, TX 78757-1700 | 2017-04-20 |
| 1033219175 | Petticoat Fair Inc | Durable Medical Equipment & Medical Supplies | 7739 Northcross Dr, Suite M, Austin, TX 78757-1700 | 2006-09-25 |
| 1669577789 | Jack Hunter Owen | Chiropractor | 7739 Northcross Dr, Suite J, Austin, TX 78757-1700 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| Find all providers in AUSTIN | ||||
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| 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.