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COMPLETE HEALTH CARE
NPI 1316610017
Nurse Practitioner - Family in Port Arthur, TX

Active since July 28, 2021CLIA 45D2234681 · Waiver
2933 PARK PLAZA LN, PORT ARTHUR, TX 77642(409) 983-1899(409) 300-4310 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Aug 22, 2022, Aug 19, 2021 and 1 more (4 updates tracked since 2021).

About Complete Health Care NPPES

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

COMPLETE HEALTH CARE (NPI 1316610017) is a healthcare organization registered as a family in Port Arthur, Texas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Connie D Johnson-wiltz, Owner, as its authorized official.

NPPES Registry Identity

NPI1316610017
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMPLETE HEALTH CARE
Location Address2933 PARK PLAZA LNPort Arthur, TX 77642-5516
Mailing Address2933 Park Plaza LnPort Arthur, TX 77642-5516 · (409) 983-1899 · Fax (409) 300-4310
Phone(409) 983-1899
Fax(409) 300-4310
Organization SubpartNo
Authorized OfficialConnie D Johnson-wiltzOwner · (409) 983-1899
Enumeration DateJuly 28, 2021
Last NPPES UpdateOctober 3, 20234 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1316610017 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
2933 PARK PLAZA LN, Port Arthur, TX 77642
Open in Google Maps ↗

Other Identifiers 1

Medicaid1316610017TX

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

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 45D2234681

Complete Health Care Clinic · Port Arthur, TX
Active · expires Sep 1, 2027
CLIA Number45D2234681
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorConnie D. Johnson-Wiltz
Laboratory Phone(409) 983-1899
Laboratory LocationComplete Health Care Clinic2933 Park Plaza Lane, Port Arthur, TX 77642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

UKANTI HEALTHCARE SERVICES PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 234-9888
CONNIE DENISE JOHNSON-WILTZ FNP-BC
Nurse Practitioner (Family)
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 983-1899
TRACIE DALENE UPDIKE M.D.
Family Medicine
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642
Jefferson County (409) 983-1899

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 Complete Health Care's NPI number?

The NPI number for Complete Health Care is 1316610017. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Complete Health Care located?

Complete Health Care is located at 2933 Park Plaza Ln, Port Arthur, TX 77642. The listed phone number is (409) 983-1899.

What is Complete Health Care's specialty?

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

Does Complete Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2234681) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Complete Health Care was last updated on October 3, 2023. 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.