Organization Active NPI

One Light Medical, PLLC

  • General Practice Physician
  • Lubbock, TX
National Provider Identifier
1750943221
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ONE LIGHT MEDICAL, PLLC
Practice address
3402 73Rd St Unit G
Lubbock, TX 79423-1122
Phone
(806) 589-2111
NPI assigned
Jul 3, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Dr. Josh NelsonNPI 1174545594
Title
Administrator
Phone
(806) 589-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3402 73Rd St Unit G
Lubbock, TX 79423-1122

Mailing address

3402 73Rd St Unit G
Lubbock, TX 79423-1122
Phone (806) 589-2111

National Provider Directory

National Provider Directory

Locations

6211 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (347) 246-3103

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1750943221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 73RD ST UNIT G",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231122",
            "telephone_number": "806-589-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 73RD ST UNIT G",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231122",
            "telephone_number": "806-589-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIGHT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-589-2111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.