Nra-Port Lavaca, Texas, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

PENDING Issued in TX

Legal business name

NRA-PORT LAVACA, TEXAS, LLC

Practice address

1300 N Virginia St
Suite 102
Port Lavaca, TX 77979-2509

Phone

(361) 551-2566

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By 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

Mr. Joseph A Cashia

Title

Chief Manager

Phone

(615) 771-4400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780743906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COOL SPRINGS BLVD",
            "address_2": "SUITE 100",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677289",
            "telephone_number": "615-771-4400",
            "fax_number": "615-771-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VIRGINIA ST",
            "address_2": "SUITE 102",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792509",
            "telephone_number": "361-551-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-PORT LAVACA, TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASHIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "615-771-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Mumphord, LPC
• Adam Nicholas Myers, CRNA
• New Vitality Clinic
• Rhonda Kay Nielsen, D.D.S.
• Tasha Norman, MSN, APRN, FNP-C
• Bryce Allen O'Donnell, DDS
• Shanna Suzanne Odonnell, FNP
• Frank M Parker IV, ATC, LAT
• Port Lavaca Anesthesia Group LLC
• Port Lavaca Clinic Associates PA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.