Organization Active NPI

Infinitie Health LLC

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1275307100
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INFINITIE HEALTH LLC
Practice address
135 Oyster Creek Dr Ste S
Lake Jackson, TX 77566-4117
Phone
(979) 297-3387
Fax
(877) 467-5216
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Stephanie Alisa Zamora, APRN, FNP-BCNPI 1083845218
Title
Clinician, Owner
Phone
(979) 297-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

135 Oyster Creek Dr Ste S
Lake Jackson, TX 77566-4117

Mailing address

135 Oyster Creek Dr Ste S
Lake Jackson, TX 77566-4117
Phone (979) 297-3387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109001950 TX Part B Supplier - Clinic/Group Practice 1557712007 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Jackson, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2297709Infinitie Health, LLC135 Oyster Creek Drive, Suite S, Lake Jackson, TX 77566Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

135 Oyster Creek Dr
Ste S
Lake Jackson, TX 77566
Phone (979) 217-1789

Practitioners & affiliated clinicians

Practitioners 2

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": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1275307100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664117",
            "telephone_number": "979-297-3387",
            "fax_number": "877-467-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664117",
            "telephone_number": "979-297-3387",
            "fax_number": "877-467-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITIE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ALISA",
        "authorized_official_title_or_position": "CLINICIAN, OWNER",
        "authorized_official_telephone_number": "979-297-3387",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.