Advanced Lymphedema Specialists

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ADVANCED LYMPHEDEMA SPECIALISTS

Practice address

1521 S Staples St Ste 401
Corpus Christi, TX 78404-3152

Phone

(361) 333-5472

NPI assigned

Oct 11, 2022

Organization subpart

No

Name

Amanda RiosNPI 1932525615

Title

Credentialing/Billing

Phone

(713) 212-9098

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

• Amanda Rios

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • El Paso, TX
  • NPI 1932525615
  NPD Authorized official
• Alyssa Lee Moffitt, OTR

  • Occupational Therapist
  • Cedar Park, TX
  • NPI 1144763715
  NPD
• Lorenzo Martin, MD

  • Pulmonary Disease Physician
  • Corpus Christi, TX
  • NPI 1598742355
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2022.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1437874591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 GREENVILLE DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736401",
            "telephone_number": "713-212-9098",
            "fax_number": "866-502-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 401",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043152",
            "telephone_number": "361-333-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LYMPHEDEMA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "713-212-9098"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Hearing Aid & Diagnostics, LLC
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• Advanced Hearing Solutions of South Texas Inc
• Advanced Home & Community Care, Inc.
• Advanced Kidney and Hypertension Center, PLLC
• Advanced Medical Care P.a.
• Advanced Southern Gastroenterology PLLC
• Advanced Steps Medical Equipment, Inc
• Carl H Aeby, DPM
• Aegis Group Practice LLC

• All providers in Corpus Christi, TX
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.