Lift Vitalize & Restore Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

AP132546 Issued in TX

Legal business name

LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC

Practice address

6625 Wooldridge Rd
101
Corpus Christi, TX 78414-2916

Phone

(361) 356-6441

Fax

(361) 356-6565

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nedia N Delua-Ruiz, PMHNP-BCNPI 1992247803

Title

Psychiatric Nurse Practitioner

Phone

(361) 960-2392

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, and the practitioner matching its NPPES authorized official.

• Nedia Nicole De Lua-Ruiz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1992247803
  Authorized official Same address or phone

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1144765546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-356-6441",
            "fax_number": "361-356-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-356-6441",
            "fax_number": "361-356-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "DELUA-RUIZ",
        "authorized_official_first_name": "NEDIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "361-960-2392",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1992247803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Regina Lievanos
• Life Branch Inc.
• Life Care Centers of America, Inc. (Alameda Oaks Nursing Center)
• Life Savers Plus LLC Dba Qualicare Home Care Corpus Chrisiti
• Lifestyles Distribution Corp.
• Lighthouse Hospice-Coastal Bend, LLC (Gentiva)
• Oscar Newton Lightner, MD
• Shannon Lillard, FNP-C
• Bonnie Faye Lilly, MA, LPC
• David Limon, MD

• Psychiatric/Mental Health Clinical Nurse Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.