Organization Active NPI

Nuturecare Solutions LLC

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1245917780
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NUTURECARE SOLUTIONS LLC
Practice address
4225 Wingrove Dr
Arlington, TX 76015-4524
Phone
(469) 951-0138
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Lakeidre Davis, CNP
Title
Owner
Phone
(469) 951-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4225 Wingrove Dr
Arlington, TX 76015-4524

Mailing address

4225 Wingrove Dr
Arlington, TX 76015-4524
Phone (469) 951-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003002058 TX Part B Supplier - Clinic/Group Practice 3375997778 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

500 E Front St
Ste 160131
Arlington, TX 76011
Phone (469) 951-0138

500 E Front St
#160131
Arlington, TX 76011

1310 Paluxy Rd
Ste 204
Granbury, TX 76048

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1245917780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 WINGROVE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154524",
            "telephone_number": "469-951-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 WINGROVE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154524",
            "telephone_number": "469-951-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTURECARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LAKEIDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-951-0138",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.