NPIMap

Organization Active NPI

Ubi Caritas

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1366413809
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
UBI CARITAS
Practice address
4450 Highland Ave
Beaumont, TX 77705-5205
Phone
(409) 832-1924
Fax
(409) 832-0275
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Mrs. Lauren M Rahe, CMPE
Title
Medical Office Manager
Phone
(409) 832-1924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4450 Highland Ave
Beaumont, TX 77705-5205

Mailing address

4450 Highland Ave
Beaumont, TX 77705-5205
Phone (409) 832-1924

Other identifiers 1

IdentifierTypeStateIssuer
111876201MedicaidTX

National Provider Directory

National Provider Directory

Locations

4400 Highland Ave
Beaumont, TX 77705
Phone (409) 813-1702

Practitioners & affiliated clinicians

Practitioners 5

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1366413809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 HIGHLAND AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777055205",
            "telephone_number": "409-832-1924",
            "fax_number": "409-832-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 HIGHLAND AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777055205",
            "telephone_number": "409-832-1924",
            "fax_number": "409-832-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBI CARITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "RAHE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "409-832-1924",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111876201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.