Active NPI
Superior Life Health Center Inc
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SUPERIOR LIFE HEALTH CENTER INC
- Practice address
- 6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378 - Phone
- (817) 612-1551
- NPI assigned
- Dec 2, 2024
- Last updated
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhoda Stevens, FNP-BC
- Title
- Owner
- Phone
- (817) 612-1551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378
Mailing address
6080 S. Hulen St, Ste 360
PMB 198
Fort Worth, TX 76132
Phone (817) 612-1551
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2315353 | Superior Life Health Center Inc | Certificate of waiver | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1033467477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1982420246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 S. HULEN ST, STE 360",
"address_2": "PMB 198",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76132",
"telephone_number": "817-612-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 MCCART AVE STE 109",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336378",
"telephone_number": "817-612-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR LIFE HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "RHODA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-612-1551",
"authorized_official_credential": "FNP-BC"
},
"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 Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.