ATHENA MEDICAL CLINIC LLC
NPI 1760102644
Nurse Practitioner in Brookshire, TX
About Athena Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHENA MEDICAL CLINIC LLC (NPI 1760102644) is a healthcare organization registered as a nurse practitioner in Brookshire, Texas and active in the NPI registry since August 2022. The organization holds a CLIA Microscopy certificate valid through September 26, 2026 and lists Iolani Mae Sy Aves, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2269456
Athena Medical Clinic · Brookshire, TXOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKSHIRE, TX 77423
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 Athena Medical Clinic LLC's NPI number?
The NPI number for Athena Medical Clinic LLC is 1760102644. It was assigned to this organization in the NPPES registry on August 31, 2022.
Where is Athena Medical Clinic LLC located?
Athena Medical Clinic LLC is located at 30575 Kingsland Blvd # 150, Brookshire, TX 77423. The listed phone number is (281) 717-4674.
What is Athena Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Does Athena Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2269456) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Athena Medical Clinic LLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Athena Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Athena Medical Clinic LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Athena Medical Clinic Llc · NPI 1760102644
Nurse Practitioner organization in Brookshire, Texas. Organization record, active in the CMS NPPES registry since August 31, 2022.
## Identity
- **NPI:** 1760102644 (Entity type: Organization)
- **Enumerated:** August 31, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Iolani Mae Aves, MANAGING MEMBER
## Practice location
- **Address:** 30575 KINGSLAND BLVD # 150, Brookshire, TX 77423-2844
- **Phone:** (281) 717-4674
## Record status
- **NPPES last updated:** June 23, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760102644) · Data from the CMS NPPES public registry.