Great Minds Academy, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT MINDS ACADEMY, LLC

Practice address

309 Plantation Dr Ste P
Lake Jackson, TX 77566-6142

Phone

(979) 401-0965

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Edna LucioNPI 1245216654

Title

Owner

Phone

(979) 418-7165

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edna Lucio, OT

  • Occupational Therapist
  • Lake Jackson, TX
  • NPI 1245216654
  NPD Authorized official
• Mary Ann Harnden, MS,PT

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1619953023
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1871368720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR STE P",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR STE P",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142",
            "telephone_number": "979-401-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MINDS ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "LUCIO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-418-7165"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Patrick Grady, M.D.
• Kelly Gragert
• Kathleen Graham, D.D.S.
• Lisa Marie Greak, OT
• Great Minds Academy
• Karen Renee Gresham, LPC , NCC
• Mario Guel, LPC
• Selena Guerrero
• Jesus Guevara III, LPC
• Gulf Coast Dental PC

• Durable Medical Equipment & Medical Supplies in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.