Organization Active NPI

Anbap Wellness LLC

Doing business as Optimum Medical Weight Control and Family Wellness

  • Family Health Clinical Nurse Specialist
  • Nederland, TX
National Provider Identifier
1073913588
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
758246 Issued in TX
Legal business name
ANBAP WELLNESS LLC
Doing business as
Optimum Medical Weight Control and Family Wellness
Practice address
1001 Nederland Ave
Nederland, TX 77627-2832
Phone
(409) 221-8294
NPI assigned
Sep 3, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ANBAP WLLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin G Morgan, FNP-BCNPI 1518399393
Title
Owner
Phone
(409) 221-8294

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)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 758246 TX Primary

Addresses

Primary practice location

1001 Nederland Ave
Nederland, TX 77627-2832

Mailing address

560 Larry Ward
Bridge City, TX 77611-2432
Phone (409) 221-8294

Other names 1

  • Optimum Medical Weight Control and Family Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Anbap Wellness LLC

Locations

1001 Nederland Ave
Nederland, TX 77627
Phone (409) 221-8294

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1073913588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 LARRY WARD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112432",
            "telephone_number": "409-221-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEDERLAND AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776272832",
            "telephone_number": "409-221-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANBAP WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANBAP WLLNESS LLC",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-221-8294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "758246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Medical Weight Control and Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.