NIRVANA IONM PLLC
NPI 1609711373
Specialist/Technologist, Other - Electroneurodiagnostic in Ft Worth, TX

Active since April 21, 2026
4455 CAMP BOWIE BLVD # 114-67, FT WORTH, TX 76107(817) 529-8488(903) 328-6568 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nirvana Ionm Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIRVANA IONM PLLC (NPI 1609711373) is a healthcare organization registered as an electroneurodiagnostic in Ft Worth, Texas and active in the NPI registry since April 2026. The organization lists Gina Sullivan, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1609711373
Entity TypeOrganization
Primary Taxonomy246ZE0600X
Legal Business NameNIRVANA IONM PLLC
Location Address4455 CAMP BOWIE BLVD # 114-67Ft Worth, TX 76107-3826
Mailing Address4455 Camp Bowie Blvd # 114-67Ft Worth, TX 76107-3826 · (817) 529-8488 · Fax (903) 328-6568
Fax(903) 328-6568
Organization SubpartNo
Authorized OfficialGina SullivanPractice Administrator · (903) 259-0550
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1609711373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
4455 CAMP BOWIE BLVD # 114-67, Ft Worth, TX 76107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Electroneurodiagnostic)
4455 CAMP BOWIE BLVD # 114-67
FT WORTH, TX 76107
Electrodiagnostic Medicine
4455 CAMP BOWIE BLVD # 114-67
FT WORTH, TX 76107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nirvana Ionm PLLC's NPI number?

The NPI number for Nirvana Ionm PLLC is 1609711373. It was assigned to this organization in the NPPES registry on April 21, 2026.

Where is Nirvana Ionm PLLC located?

Nirvana Ionm PLLC is located at 4455 Camp Bowie Blvd # 114-67, Ft Worth, TX 76107. The listed phone number is (817) 529-8488.

What is Nirvana Ionm PLLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Nirvana Ionm PLLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.