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MIMETIC WELLNESS
NPI 1184501959
Nurse Practitioner - Family in Humble, TX

Active since August 21, 2025CLIA 45D2348185 · Waiver
6621 FM 1960 RD E STE 144, HUMBLE, TX 77346(346) 819-9566 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mimetic Wellness NPPES

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

MIMETIC WELLNESS (NPI 1184501959) is a healthcare organization registered as a family in Humble, Texas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 2, 2028 and lists Elizabeth Wright, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1184501959
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMIMETIC WELLNESS
Location Address6621 FM 1960 RD E STE 144Humble, TX 77346-2711
Mailing Address13531 Will Clayton Pkwy Ste 300, Pmb #164Humble, TX 77346-4850
Phone(346) 819-9566
Organization SubpartNo
Authorized OfficialElizabeth WrightNurse Practitioner/owner · (346) 819-9566
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1184501959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6621 FM 1960 RD E STE 144, Humble, TX 77346
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2348185

Mimetic Wellness · Humble, TX
Active · expires Aug 2, 2028
CLIA Number45D2348185
Laboratory TypePharmacy
Certificate Effective DateAugust 3, 2026
Certificate Expiration DateAugust 2, 2028
Laboratory DirectorElizabeth Wright
Laboratory Phone(346) 819-9566
Laboratory LocationMimetic Wellness13803 Madera Run Parkway, Ste 804, Humble, TX 77346
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mimetic Wellness's NPI number?

The NPI number for Mimetic Wellness is 1184501959. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Mimetic Wellness located?

Mimetic Wellness is located at 6621 Fm 1960 Rd E Ste 144, Humble, TX 77346. The listed phone number is (346) 819-9566.

What is Mimetic Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mimetic Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2348185) is associated with this NPI, valid through August 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mimetic Wellness accept?

Health plans from Blue Cross and Blue Shield of Texas list Mimetic Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimetic Wellness was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.