Supreme Wisdom Family Health Clinic Inc
NPI 1801176474 · Family Nurse Practitioner · Grand Prairie, TX
Supreme Wisdom Family Health Clinic Inc is a Family Nurse Practitioner organization in Grand Prairie, TX (NPI 1801176474).
Provider details
- NPI number
- 1801176474
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Khaliliah Ali, President(469) 835-3449
- License
- 682811 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-08-26
- Last updated
- 2011-09-15
Frequently asked questions
- What is Supreme Wisdom Family Health Clinic Inc's NPI number?
- Supreme Wisdom Family Health Clinic Inc's National Provider Identifier (NPI) is 1801176474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Wisdom Family Health Clinic Inc?
- Supreme Wisdom Family Health Clinic Inc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Supreme Wisdom Family Health Clinic Inc located?
- Supreme Wisdom Family Health Clinic Inc's practice location on file with NPPES is 455 Gotland Dr, Grand Prairie, TX 75052-2570.
- What is Supreme Wisdom Family Health Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Supreme Wisdom Family Health Clinic Inc is (469) 831-3149.
- Who is the authorized official for Supreme Wisdom Family Health Clinic Inc?
- The authorized official listed on Supreme Wisdom Family Health Clinic Inc's NPPES record is Khaliliah Ali, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Wisdom Family Health Clinic Inc's NPI active?
- Yes — Supreme Wisdom Family Health Clinic Inc's NPI (1801176474) is active in the NPPES registry as of the last update on 2011-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.