Organization Active NPI

Essential Body Bar

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1821625815
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ESSENTIAL BODY BAR
Practice address
1622 W Alabama St
Houston, TX 77006-4102
Phone
(832) 808-0903
Fax
(832) 553-7762
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Letrice Kay Mason, NP
Title
Nurse Practitioner/Owner
Phone
(817) 874-5505

Specialties & licenses 1

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

Addresses

Primary practice location

1622 W Alabama St
Houston, TX 77006-4102

Mailing address

1622 W Alabama St
Houston, TX 77006-4102
Phone (832) 808-0903

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1821625815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064102",
            "telephone_number": "832-808-0903",
            "fax_number": "832-553-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064102",
            "telephone_number": "832-808-0903",
            "fax_number": "832-553-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BODY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LETRICE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "817-874-5505",
        "authorized_official_credential": "NP"
    },
    "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.