Pinnacle Health Facilities Xxii LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINNACLE HEALTH FACILITIES XXII LP

Practice address

3800 Englewood LN
Odessa, TX 79762-7073

Phone

(432) 362-2583

Fax

(432) 362-8384

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie L Collier

Title

Director of Reimbursement

Phone

(972) 931-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buena Vida Nursing and Rehab - Odessa Doing business as

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1932396835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-930-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ENGLEWOOD LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627073",
            "telephone_number": "432-362-2583",
            "fax_number": "432-362-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH FACILITIES XXII LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015371",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Nursing and Rehab - Odessa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Pierce
• Memoucheka Pierre
• Lee Ann Pierson, FNP-C
• Richard John Pietila, MD
• Heriberto Pina-Anaya, FNP-C
• Jeffery M Pinnow, M.D.
• Karina Pique, DO
• Tabatha J Pittman, PA-C
• Planned Parenthood of West Texas
• Hanah Lee Pleines, FNP

• All providers in Odessa, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.