NPIMap

Organization Active NPI

Faith Bariatric Success Clinic

  • Family Nurse Practitioner
  • The Colony, TX
National Provider Identifier
1659725026
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP106313 Issued in TX
Legal business name
FAITH BARIATRIC SUCCESS CLINIC
Practice address
3716 Standridge Dr
Suite 200
The Colony, TX 75056-4566
Phone
(469) 910-4400
Fax
(469) 440-8805
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Alan Beauchamp
Title
Partner
Phone
(214) 802-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP106313 TX Primary

Addresses

Primary practice location

3716 Standridge Dr
Suite 200
The Colony, TX 75056-4566

Mailing address

3716 Standridge Dr
Suite 200
The Colony, TX 75056-4566
Phone (469) 910-4400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1659725026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 STANDRIDGE DR",
            "address_2": "SUITE 200",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564566",
            "telephone_number": "469-910-4400",
            "fax_number": "469-440-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 STANDRIDGE DR",
            "address_2": "SUITE 200",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564566",
            "telephone_number": "469-910-4400",
            "fax_number": "469-440-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH BARIATRIC SUCCESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-802-9993"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP106313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.