Active NPI
North Texas Nutrition & Wellness
- Nurse Practitioner
- Gainesville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NORTH TEXAS NUTRITION & WELLNESS
- Practice address
- 903 E Broadway St
Gainesville, TX 76240-4235 - Phone
- (940) 336-4584
- NPI assigned
- Jan 9, 2025
- Organization subpart
- Yes
- Parent organization
- KACYE M VANN NURSE PRACTITIONER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kacye Michelle Vann, FNP-C
- Title
- Owner/Provider
- Phone
- (940) 736-5317
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
903 E Broadway St
Gainesville, TX 76240-4235
Mailing address
PO Box 308
Valley View, TX 76272-0308
Phone (940) 736-5317
Other practice location 1
1030 E Lone Oak Rd
Valley View, TX 76272-7303
Phone (940) 736-5317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689279374 | Other | COMMERCIAL INSURANCE | |
| 1689279374 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2225517 | North Texas Nutrition & Wellness | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider Directory- Part of
- Kacye M Vann Nurse Practitioner
Locations
903 E Broadway St
Gainesville, TX 76240
Phone (940) 336-4584
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Nurse Practitioner
- Gainesville, TX
- NPI 1972187995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1083424295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "VALLEY VIEW",
"state": "TX",
"postal_code": "762720308",
"telephone_number": "940-736-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 E BROADWAY ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404235",
"telephone_number": "940-336-4584"
}
],
"practiceLocations": [
{
"address_1": "1030 E Lone Oak Rd",
"address_purpose": "LOCATION",
"city": "Valley View",
"state": "TX",
"postal_code": "762727303",
"country_code": "US",
"telephone_number": "940-736-5317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH TEXAS NUTRITION & WELLNESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KACYE M VANN NURSE PRACTITIONER",
"enumeration_date": "2025-01-09",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "VANN",
"authorized_official_first_name": "KACYE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "940-736-5317",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1689279374",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689279374",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, TX
- Valerie Dawn Nelson
- Elizabeth S Newman, DO
- Newname Healthcare Consulting LLC
- North Texas Children's Dentistry, PLLC (North Texas Children's Dentistry)
- North Texas Dialysis Clinic, LLC
- North Texas Vision Center P.a.
- Crystal Nkiruka Ofoegbu, DC
- Chidinma Okanu
- Vidya Pai, MD
- Pain Management of North Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.