Organization Active NPI

Soulfully Rite Dialysis Corporation

  • Nephrology Specialist/Technologist
  • Converse, TX
National Provider Identifier
1124961297
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Specialist/TechnologistTaxonomy code 246ZN0300X
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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)CodeLicenseStatePrimary
Nephrology Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.