WELL ROOTED PEDIATRICS, PLLC
NPI 1063164002
Clinic/Center - Primary Care in Frisco, TX

NPI Status: Active since January 20, 2022

Contact Information

5570 FM 423 # 250-1218
FRISCO, TX
ZIP 75036
Phone: (469) 898-6346

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 45D2252874
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-14-2026

About WELL ROOTED PEDIATRICS, PLLC

This page provides the complete NPI Profile along with additional information for Well Rooted Pediatrics, Pllc, a primary care provider established in Frisco, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1063164002 assigned on January 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Annalise Monet Clayborne Aprn (Nurse Practitioner)

NPI
1063164002
Provider Name
WELL ROOTED PEDIATRICS, PLLC
Entity Type
Organization
Location Address
5570 FM 423 # 250-1218 FRISCO, TX 75036
Location Phone
(469) 898-6346
Mailing Address
5570 FM 423 # 250-1218 FRISCO, TX 75036
Mailing Phone
(469) 898-6346
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2022
Last Update Date
01-20-2022
Code Navigator

A primary care provider (PCP) like Well Rooted Pediatrics, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNALISE MONET CLAYBORNE APRN

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(512) 698-3641

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2252874
Facility Type
Physician Office
Certificate Effective Date
February 15, 2024
Certificate Expiration Date
February 14, 2026
Laboratory Director
ANNALISE M. CLAYBORNE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Well Rooted Pediatrics, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063164002
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012326800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 6 + 8 + 0 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1063164002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063164002, enumerated in the NPI registry as an "organization" on January 20, 2022

The provider is located at 5570 Fm 423 # 250-1218 Frisco, Tx 75036 and the phone number is (469) 898-6346

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 45D2252874 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 20, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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