Provider Demographics
NPI:1760149918
Name:INSIGHTFUL ENTERPRISES PLLC
Entity Type:Organization
Organization Name:INSIGHTFUL ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:206-620-1222
Mailing Address - Street 1:204 RAINBOW DR STE 10486
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-2004
Mailing Address - Country:US
Mailing Address - Phone:908-208-8600
Mailing Address - Fax:866-902-0669
Practice Address - Street 1:204 RAINBOW DR STE 10486
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77399-2004
Practice Address - Country:US
Practice Address - Phone:206-620-1222
Practice Address - Fax:559-236-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP61115995OtherSTATE LICENSE