Innovation Mind & Body LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNOVATION MIND & BODY LLC

Practice address

3303 Cypress Creek Pkwy Ste 420
Houston, TX 77068-3612

Phone

(832) 517-9058

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Luciana Thompson, NP

Title

Nurse Practitioner

Phone

(832) 517-9058

Specialties & licenses 1

Addresses

Other names 1

• Innovation Mind & Body LLC Other name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: info@innovationmb.com

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1467042358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681583",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772681583",
            "telephone_number": "832-517-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 CYPRESS CREEK PKWY STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683612",
            "telephone_number": "832-517-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION MIND & BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-517-9058",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@innovationmb.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3303 Cypress Creek Pkwy Ste 420",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770683612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Innovation Mind & Body LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Innova Anesthesia PLLC
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• Innova Mit, PLLC
• Innovation Medical Supplies Inc.
• Innovations Counseling and Consulting PLLC
• Innovations in Physical Therapy, Inc.
• Innovations Wound Management, PA
• Innovations Wound Management, PA
• Innovative Allergy

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.