Innovative Prodigy's, LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

INNOVATIVE PRODIGY'S, LLC

Practice address

12440 Oxford Park Dr Ste B101
Houston, TX 77082-2699

Phone

(945) 867-0030

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By 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

Tabitha Brumfield

Title

Ceo

Phone

(504) 429-9621

Specialties & licenses 1

Addresses

Other names 1

• Innovative Prodigy's, LLC Former legal business name

Locations

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1760206916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 OXFORD PARK DR STE B101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822699",
            "telephone_number": "945-867-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 OXFORD PARK DR STE B101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822699",
            "telephone_number": "945-867-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PRODIGY'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-429-9621"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Prodigy's, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Innovative Medical Assessments
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• Innovative Pain Consultants LLP
• Innovative Primary Care PLLC
• Innovative R P Inc
• Innovative Radiology PA
• Innovative Renal Care - Webster, Inc.
• Innovative Senior Care Home Health of Houston LLC (HCA Houston Healthcare at Home)
• Innovative Spine Center, PLLC

• Secured Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.