Leyvis Arrieta Wambrug

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1000137 Issued in TX

Practice address

19321 Park Row Apt 1429
Houston, TX 77084-4893

Phone

(813) 836-3590

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovista Provider Group Texas PAGroup PAC ID 6901235423, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lwamburg26138@innovista.gardenplot.direct-ci.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sunlife Health LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1881491520

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Director, Corporate Officer, Limited Partnership Interest, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovista Provider Group Texas PA

  dba Innovista Telemedicine Houston TX

  • Family Medicine Physician
  • Houston, TX
  • NPI 1780231928
  Medicare reassignment Care Compare group NPD
• Innovista Provider Group Texas PA

  dba Innovista Las Colinas

  • Family Medicine Physician
  • Irving, TX
  • NPI 1144875626
  NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669248000000",
    "number": "1174247779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 PARK ROW APT 1429",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844893",
            "telephone_number": "813-836-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 PARK ROW APT 1429",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844893",
            "telephone_number": "813-836-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETA WAMBRUG",
        "first_name": "LEYVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000137",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Arriaga
• Julia Ashley Arriazola, PHARM.D.
• Tiffani Dawn Arriazola, AGNP-C
• Alfredo Roberto Arribas, D.D.S., M.S.
• Elsa M. Arribas, M.D.
• Miguel Arrieta, RN
• Amanda Kathleen Arrington, MD MHM
• Amy Sharon Arrington, MD
• Andria Nicole Arrington, PA
• Jazmyn Alyssa Arrington, BCBA

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.