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360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC
NPI 1730728403
Nurse Practitioner - Family in Arlington, TX

Active since December 30, 2019
1190 W PIONEER PKWY, ARLINGTON, TX 76013(682) 276-6595(817) 583-6543 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Dec 30, 2019 (2 updates tracked since 2019).

About 360 Health Integrated Medical Boutique, Pllc NPPES

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

360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC (NPI 1730728403), doing business as Weight Away Health And Wellness, is a healthcare organization registered as a family in Arlington, Texas and active in the NPI registry since December 2019. The organization lists Tracy Julien, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1730728403
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business Name360 HEALTH INTEGRATED MEDICAL BOUTIQUE, PLLC
Location Address1190 W PIONEER PKWYArlington, TX 76013-6367
Mailing Address1190 W Pioneer PkwyArlington, TX 76013-6367 · (682) 276-6595 · Fax (817) 583-6543
Phone(682) 276-6595
Fax(817) 583-6543
Organization SubpartNo
Authorized OfficialTracy JulienFamily Nurse Practitioner · (504) 215-3919
Enumeration DateDecember 30, 2019
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1730728403 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
1190 W PIONEER PKWY, Arlington, TX 76013
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Other Names 1

Doing Business AsWeight Away Health And Wellness

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, Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

360 Health Integrated Medical Boutique, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 360 Health Integrated Medical Boutique, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracy Julien, FNP
Nurse Practitioner
NPI 1417424219
801 E ABRAM ST STE 208
Arlington, TX 76010
(504) 215-3919
✔ PECOS2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 360 Health Integrated Medical Boutique, PLLC's NPI number?

The NPI number for 360 Health Integrated Medical Boutique, PLLC is 1730728403. It was assigned to this organization in the NPPES registry on December 30, 2019. The provider is doing business as Weight Away Health and Wellness.

Where is 360 Health Integrated Medical Boutique, PLLC located?

360 Health Integrated Medical Boutique, PLLC is located at 1190 W Pioneer Pkwy, Arlington, TX 76013. The listed phone number is (682) 276-6595.

What is 360 Health Integrated Medical Boutique, PLLC's specialty?

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

Is 360 Health Integrated Medical Boutique, PLLC enrolled in Medicare?

Yes. 360 Health Integrated Medical Boutique, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 360 Health Integrated Medical Boutique, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 360 Health Integrated Medical Boutique, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 360 Health Integrated Medical Boutique, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list 360 Health Integrated Medical Boutique, PLLC 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 360 Health Integrated Medical Boutique, PLLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.