Active NPI
Soulfully Rite Dialysis Corporation
- Nephrology Specialist/Technologist
- Converse, TX
National Provider Identifier
1124961297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Specialist/Technologist
- Legal business name
- SOULFULLY RITE DIALYSIS CORPORATION
- Practice address
- 2823 Citron Garden
Converse, TX 78109 - Phone
- (972) 850-2416
- NPI assigned
- Apr 13, 2026
- Organization subpart
- Yes
- Parent organization
- SOULFULLY RITE DIALYSIS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakesha Sullivan
- Title
- Ceo
- Phone
- (816) 703-7607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Specialist/Technologist | 246ZN0300X | Primary |
Addresses
Primary practice location
2823 Citron Garden
Converse, TX 78109
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (972) 850-2416
National Provider Directory
National Provider Directory- Part of
- Soulfully Rite Dialysis Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1124961297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "972-850-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 CITRON GARDEN",
"city": "CONVERSE",
"state": "TX",
"postal_code": "78109",
"telephone_number": "972-850-2416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULFULLY RITE DIALYSIS CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOULFULLY RITE DIALYSIS CORPORATION",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "LAKESHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-703-7607"
},
"taxonomies": [
{
"code": "246ZN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.