Organization Active NPI

Phoenix Restorative Care Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1861377756
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PHOENIX RESTORATIVE CARE INC
Practice address
6706 90TH St
Lubbock, TX 79424-6729
Phone
(806) 577-5273
NPI assigned
Aug 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Rebecca Anne BookerNPI 1831812056
Title
Owner of Entity
Phone
(806) 577-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6706 90TH St
Lubbock, TX 79424-6729

Mailing address

6706 90TH St
Lubbock, TX 79424-6729
Phone (806) 577-5273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926000184 TX Part B Supplier - Clinic/Group Practice 4789189101 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

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": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1861377756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 90TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246729",
            "telephone_number": "806-577-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 90TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246729",
            "telephone_number": "806-577-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESTORATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "806-577-5273"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "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 Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.