Organization Active NPI

Lighthearted Care and Wellness LLC

  • Family Nurse Practitioner
  • Manvel, TX
National Provider Identifier
1750197307
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIGHTHEARTED CARE AND WELLNESS LLC
Practice address
23 San Simeon Dr
Manvel, TX 77578-3286
Phone
(337) 532-1615
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Obiageli DurousseauNPI 1538792072
Title
FNP- BC
Phone
(337) 532-1615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

23 San Simeon Dr
Manvel, TX 77578-3286

Mailing address

23 San Simeon Dr
Manvel, TX 77578-3286

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1750197307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAN SIMEON DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SAN SIMEON DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783286",
            "telephone_number": "337-532-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHEARTED CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DUROUSSEAU",
        "authorized_official_first_name": "OBIAGELI",
        "authorized_official_title_or_position": "FNP- BC",
        "authorized_official_telephone_number": "337-532-1615"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.