NPI Code Detail JSON Logo

1518707058 NPI number — NEXT LEVEL HEALTH AND WELLNESS PLLC

NPI Number: 1518707058
Health Care Provider/Practitioner: NEXT LEVEL HEALTH AND WELLNESS PLLC

Information about “1518707058” NPI (NEXT LEVEL HEALTH AND WELLNESS PLLC) exists in 1518707058 in HTML format HTML  |  1518707058 in plain Text format TXT  |  1518707058 in PDF (Portable Document Format) PDF  |  1518707058 in an XML format XML  formats.

NPI Number : 1518707058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518707058",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEXT LEVEL HEALTH AND WELLNESS PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11735 FM 773",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEN WHEELER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75754-6400",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-781-5358",
    "MailingAddressFaxNumber": "877-264-8834",
    "FirstLinePracticeLocationAddress": "11735 FM 773",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEN WHEELER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75754-6400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-781-5358",
    "PracticeLocationAddressFaxNumber": "877-264-8834",
    "EnumerationDate": "05/31/2024",
    "LastUpdateDate": "05/31/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEISS",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FNP/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "715-781-5358",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.