Organization Active NPI

MWV Healthcare PLLC

  • Nurse Practitioner
  • League City, TX
National Provider Identifier
1003267832
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP122501 Issued in TX
Legal business name
MWV HEALTHCARE PLLC
Practice address
2801 Veneto CT
League City, TX 77573-5006
Phone
(832) 724-4283
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mica Maleigh Wynn Vela, FNP-CNPI 1427393792
Title
Nurse Practitioner
Phone
(832) 724-4283

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP122501 TX Primary

Addresses

Primary practice location

2801 Veneto CT
League City, TX 77573-5006

Mailing address

2801 Veneto CT
League City, TX 77573-5006

Other names 1

  • Outcomes Alliance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803000835 TX Part B Supplier - Clinic/Group Practice 1557655248 Receives reassigned benefits from 1 practitioner
Practice locations: League City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1003267832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 VENETO CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 VENETO CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735006",
            "telephone_number": "832-724-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWV HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "WYNN VELA",
        "authorized_official_first_name": "MICA",
        "authorized_official_middle_name": "MALEIGH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-724-4283",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP122501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outcomes Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.