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

NPI Status: Active since April 21, 2026

Contact Information

4455 CAMP BOWIE BLVD # 114-67
FT WORTH, TX
ZIP 76107
Phone: (817) 529-8488
Fax: (903) 328-6568

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  • Organization
  • Specialist/Technologist, Other
  • Electroneurodiagnostic

About NIRVANA IONM PLLC

This page provides the complete NPI Profile along with additional information for Nirvana Ionm Pllc, a provider established in Ft Worth, Texas operating as a Specialist/technologist, Other, focusing in electroneurodiagnostic . The healthcare provider is registered in the NPI registry with number 1609711373 assigned on April 2026. The practitioner's primary taxonomy code is 246ZE0600X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gina Sullivan (Practice Administrator)

NPI
1609711373
Provider Name
NIRVANA IONM PLLC
Entity Type
Organization
Location Address
4455 CAMP BOWIE BLVD # 114-67 FT WORTH, TX 76107
Location Phone
(817) 529-8488
Location Fax
(903) 328-6568
Mailing Address
4455 CAMP BOWIE BLVD # 114-67 FT WORTH, TX 76107
Mailing Phone
(817) 529-8488
Mailing Fax
(903) 328-6568
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2026
Last Update Date
04-21-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Electroneurodiagnostic

Taxonomy Code
246ZE0600X
Type
Technologists, Technicians & Other Technical Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA SULLIVAN

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(903) 259-0550

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609711373, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 4 + 1 + 2 + 3 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1609711373.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Electrodiagnostic Medicine
4455 CAMP BOWIE BLVD # 114-67
FT WORTH, TX 76107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609711373, enumerated as an "organization" on April 21, 2026.

The provider is located at 4455 CAMP BOWIE BLVD # 114-67 FT WORTH, TX 76107 and the phone number is (817) 529-8488.

Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.