Infiniti Primary Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INFINITI PRIMARY HEALTHCARE LLC

Practice address

118 Sunbird LN
Sunnyvale, TX 75182-9358

Phone

(469) 878-5059

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Reita DelangeNPI 1881151751

Title

Owner , NP

Phone

(469) 878-5059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Reita Delange, NP

  • Family Nurse Practitioner
  • Sunnyvale, TX
  • NPI 1881151751
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1528643160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SUNBIRD LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829358",
            "telephone_number": "469-878-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SUNBIRD LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829358",
            "telephone_number": "469-878-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "DELANGE",
        "authorized_official_first_name": "REITA",
        "authorized_official_title_or_position": "OWNER , NP",
        "authorized_official_telephone_number": "469-878-5059"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Professionals Inc
• Andy Huang, DO
• Michael Steven Hunte, MD
• ICU and Respiratory Disease Consulting PA
• Benny Illickal
• Innovative Emergency Physicians of Sunnyvale PA
• Interventional Pain & Aesthetics
• Mini Iype
• J R Rountree Enterprises, Inc. (Rountree Care Services)
• J. Teig Port, M.D., P.a. (Orthopaedic Center of Mesquite)

• Family Nurse Practitioner in Sunnyvale, TX
• Providers in Sunnyvale, 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 Mar 15, 2021; 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.