Equilibre Clinic LLC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

AP130283 Issued in TX

Legal business name

EQUILIBRE CLINIC LLC

Practice address

6025 Metropolitan Dr Ste 210
Beaumont, TX 77706-2409

Phone

(713) 588-9302

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Siobain Kay Rogers, MSN, APRN, FNP-C

Title

President, Ceo

Phone

(713) 588-9302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1821532565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "713-588-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "713-588-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SIOBAIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "713-588-9302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP130283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Nurse Specialist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.