Active NPI
Alauan LLC
Doing business as Principle Pain and Health
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1053855189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ALAUAN LLC
- Doing business as
- Principle Pain and Health
- Practice address
- 5573 Seabury Dr
Fort Worth, TX 76137-5393 - Phone
- (817) 897-7494
- Fax
- (817) 841-1919
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald G Kimmel
- Title
- Sole Member
- Phone
- (817) 897-7494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
5573 Seabury Dr
Fort Worth, TX 76137-5393
Mailing address
5573 Seabury Dr
Fort Worth, TX 76137-5393
Other names 1
- Principle Pain and Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Grapevine, TX
- NPI 1053762070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1053855189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5573 SEABURY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761375393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5573 SEABURY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761375393",
"telephone_number": "817-897-7494",
"fax_number": "817-841-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAUAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "KIMMEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "817-897-7494"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Principle Pain and Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.