Wholelife Authentic Care Provider Network
NPI 1386200889 · General Practice Physician · Fort Worth, TX
Wholelife Authentic Care Provider Network is a General Practice Physician organization in Fort Worth, TX (NPI 1386200889).
Provider details
- NPI number
- 1386200889
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Havrilla, Board President(806) 220-6455
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Frequently asked questions
- What is Wholelife Authentic Care Provider Network's NPI number?
- Wholelife Authentic Care Provider Network's National Provider Identifier (NPI) is 1386200889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wholelife Authentic Care Provider Network?
- Wholelife Authentic Care Provider Network is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Wholelife Authentic Care Provider Network located?
- Wholelife Authentic Care Provider Network's practice location on file with NPPES is 1000 Bonnie Brae Ave Ste 120, Fort Worth, TX 76111-4301.
- What is Wholelife Authentic Care Provider Network's phone number?
- The practice phone number listed in the NPPES registry for Wholelife Authentic Care Provider Network is (817) 706-3128.
- Who is the authorized official for Wholelife Authentic Care Provider Network?
- The authorized official listed on Wholelife Authentic Care Provider Network's NPPES record is Nicole Havrilla, Board President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wholelife Authentic Care Provider Network's NPI active?
- Yes — Wholelife Authentic Care Provider Network's NPI (1386200889) is active in the NPPES registry as of the last update on 2022-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.