Ab Genuine Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AB GENUINE HEALTH, LLC

Practice address

324 N 14TH St
Nederland, TX 77627-4039

Phone

(409) 351-1507

NPI assigned

Apr 6, 2020

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anasha Bush Butler, FNP

Title

Owner of Entity

Phone

(409) 351-1507

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anasha Bush Butler, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1104363225
  Medicare reassignment
• Connie Denise Johnson-Wiltz, FNP-BC

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1306354261
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1568091072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 ERIE DR",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275648",
            "telephone_number": "409-351-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 14TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274039",
            "telephone_number": "409-351-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB GENUINE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANASHA",
        "authorized_official_middle_name": "BUSH",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "409-351-1507",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Arwin Adkins, D.C.
• Albert W Lyon MD PA
• Albert W Lyon MD PA
• Albritton & Gomez Dental Associates, PLLC
• Albritton Dental Associates

• Family Medicine Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.