Lito B Justo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1068031 Issued in TX

Practice address

108 S William Barnett Ave
Cleveland, TX 77327-4542

Phone

(281) 659-2355

Fax

(281) 592-1570

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calvary Medical, PA

  dba Calvary Medical Clinic

  • Legal Medicine
  • Cleveland, TX
  • NPI 1265568042
  Medicare reassignment NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1720731284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 SPRUCE PARK CIR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773453054",
            "telephone_number": "304-553-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274542",
            "telephone_number": "281-659-2355",
            "fax_number": "281-592-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTO",
        "first_name": "LITO",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Michael Jones, M.S., LPC, NCC, CAS
• Scott Lamar Jones, D.D.S.
• April Gay Jordan
• Richard Ray Jordan, MD
• Junner Health PLLC
• Anna Jean Kalani-Weismer, PHARM D
• Seth Keating, PA
• Keith Ian Garnet Spooner
• Kristin J Kelly, PT, MS
• Andee Kesner, PHARM.D.

• Family Nurse Practitioner in Cleveland, TX
• Providers in Cleveland, 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 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.