Organization Active NPI

Lacomb Health & Wellness, PLLC

  • Family Nurse Practitioner
  • Groves, TX
National Provider Identifier
1326579244
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
684661 Issued in TX
Legal business name
LACOMB HEALTH & WELLNESS, PLLC
Practice address
6000 39TH St
Groves, TX 77619-4600
Phone
(409) 962-8509
Fax
(409) 962-0763
NPI assigned
Mar 22, 2017
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Mrs. Christine Rhea Lacomb, FNP-BCNPI 1619993003
Title
Owner/Nurse Practitioner
Phone
(409) 962-8509

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 684661 TX Primary

Addresses

Primary practice location

6000 39TH St
Groves, TX 77619-4600

Mailing address

6000 39TH St
Groves, TX 77619-4600
Phone (409) 962-8509

Other identifiers 1

IdentifierTypeStateIssuer
684661OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180828000664 TX Part B Supplier - Clinic/Group Practice 5698024438 Receives reassigned benefits from 3 practitioners
Practice locations: Groves, 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
45D0497485Lacomb Health & Wellness6000 39TH Street, Groves, TX 77619Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

6000 39th St
Groves, TX 77619
Phone (409) 962-8509

6000 39th St
Ste B
Groves, TX 77619

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1326579244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194600",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194600",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACOMB HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "LACOMB",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "RHEA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "409-962-8509",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "684661",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.