Pure One Infusion LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PURE ONE INFUSION LLC

Practice address

16611 Creek TRL
Houston, TX 77084-1263

Phone

(309) 868-3354

NPI assigned

Feb 15, 2025

Organization subpart

No

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

Authorized official

Name

Jeremy Jackson

Title

Manager

Phone

(309) 712-4880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Ltrice Trinette Gulley, APN

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1922660174
  Medicare reassignment NPD

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1497550297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SOUTHWEST FWY STE 101 #577455",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "309-868-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 CREEK TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841263",
            "telephone_number": "309-868-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ONE INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-712-4880"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Dental Studio LLC
• Pure Foot and Ankle Center PLLC
• Pure G Kids, LLC
• Pure Health and Wellness
• Pure Hope Counseling PLLC
• Pure Prosthodontics
• Pure Sleep Solutions
• Pure Smiles
• Pure Surgical Assistant
• Pure Unity Care Nursing and Rehabilitation

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.