1. Home
  2. Directory
  3. Texas
  4. West
  5. Nurse Practitioner
  6. NPI Profile

OLD CORNER WELLNESS INC
NPI 1003514597
Nurse Practitioner - Adult Health in West, TX

Active since February 23, 2023

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Feb 23, 2023 (2 updates tracked since 2023).

About Old Corner Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD CORNER WELLNESS INC (NPI 1003514597) is a healthcare organization registered as an adult health in West, Texas and active in the NPI registry since February 2023. The organization lists Randy James Niemeyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1003514597
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameOLD CORNER WELLNESS INC
Location Address200 N MAIN STWest, TX 76691-1207
Mailing Address200 N Main StWest, TX 76691-1207
Phone(254) 826-5122
Organization SubpartNo
Authorized OfficialRandy James NiemeyerOwner · (254) 826-5122
Enumeration DateFebruary 23, 2023
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1003514597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedClinic/CenterTaxonomy 261Q00000X
200 N MAIN ST, West, TX 76691
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDY JAMES NIEMEYER PHARMD
Pharmacist
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
WEST OLD CORNER DRUG, INC
Pharmacy (Community/Retail Pharmacy)
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
WEST OLD CORNER DRUG, INC
Pharmacy (Long Term Care Pharmacy)
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Corner Wellness Inc's NPI number?

The NPI number for Old Corner Wellness Inc is 1003514597. It was assigned to this organization in the NPPES registry on February 23, 2023.

Where is Old Corner Wellness Inc located?

Old Corner Wellness Inc is located at 200 N Main St, West, TX 76691. The listed phone number is (254) 826-5122.

What is Old Corner Wellness Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Old Corner Wellness Inc was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.