Active NPI
Anbap Wellness LLC
Doing business as Optimum Medical Family Practice
- Family Health Clinical Nurse Specialist
- Nederland, TX
National Provider Identifier
1174913016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 758246
- Legal business name
- ANBAP WELLNESS LLC
- Doing business as
- Optimum Medical Family Practice
- Practice address
- 1003 Nederland Ave
Nederland, TX 77627 - Phone
- (409) 221-8294
- Fax
- (409) 344-9592
- NPI assigned
- Jan 30, 2015
- Last updated
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin G Morgan, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 758246 | TX | Primary |
Addresses
Primary practice location
1003 Nederland Ave
Nederland, TX 77627
Mailing address
1003 Nederland Ave
Nederland, TX 77627
Phone (409) 221-8294
Other names 1
- Optimum Medical Family Practice
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Port Arthur, TX
- NPI 1518399393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422576000000",
"number": "1174913016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 NEDERLAND AVE",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-221-8294",
"fax_number": "409-344-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 NEDERLAND AVE",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-221-8294",
"fax_number": "409-344-9592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANBAP WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2015-01-30",
"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_credential": "FNP"
},
"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 Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nederland, TX
- Clyde Verl Allred, M.D.
- Alpha Omega Health Management Services, LLC
- Kennetha Alvarez, FNP-C
- Nisha Amin, PHD
- Anbap Wellness LLC (Optimum Medical Weight Control and Family Wellness)
- Andrew Mann Optometrist PA (Visionmann)
- Anew Wellness, LLC (Nederland Ave Family Wellness)
- Tenika Michelle Antoine, FNP-C
- Prospero V Arante, MD
- Katherine M Arnold, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.