Supreme Wisdom Family Health Clinic Inc
NPI 1801176474ActiveOrganization· Nurse Practitioner, Family· Grand Prairie, TX
Nurse Practitioner, Family in Grand Prairie, Texas, registered in NPPES in August 2011. The authorized official on file is Khaliliah Ali, FNP-C, APRN, BC, President.
Overview
| NPI | 1801176474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2011 |
| Last updated in NPPES | Sep 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 682811 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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