New Life Surgical Assisting, PLLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

NEW LIFE SURGICAL ASSISTING, PLLC

Practice address

1400 8TH Ave
Fort Worth, TX 76104-4110

Phone

(817) 508-0710

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Antay Lane Parker, DNP, APRN, WHNP-BC

Title

Owner

Phone

(682) 500-0928

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antay Lane Waters, DNP, APRN, CNM, WHNP

  • Advanced Practice Midwife
  • Fort Worth, TX
  • NPI 1649638776
  NPD

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1124689211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SMITH ST # 61070, SMB 6713",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-508-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SURGICAL ASSISTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANTAY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-500-0928",
        "authorized_official_credential": "DNP, APRN, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356408001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.