Organization Active NPI

Mobile Designer Drips LLC

  • Infusion Therapy Registered Nurse
  • Baytown, TX
National Provider Identifier
1912622143
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
MOBILE DESIGNER DRIPS LLC
Practice address
5211 E Wallisville Rd
Baytown, TX 77521-8742
Phone
(713) 422-3178
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Jesseka Marie Suarez, RN
Title
RN/Owner
Phone
(936) 900-2154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

5211 E Wallisville Rd
Baytown, TX 77521-8742

Mailing address

2119 Broadlawn Dr
Houston, TX 77058-2240
Phone (936) 900-2154

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1912622143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 BROADLAWN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582240",
            "telephone_number": "936-900-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 E WALLISVILLE RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775218742",
            "telephone_number": "713-422-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DESIGNER DRIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JESSEKA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "936-900-2154",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Online EHR, HIPAA & HITECH compliant.",
            "address_1": "5211 E Wallisville Rd",
            "city": "Baytown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775218742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.