Organization Active NPI

Invita Health and Wellness LLC

  • Primary Care Clinic/Center
  • La Vista, NE
National Provider Identifier
1184507840
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INVITA HEALTH AND WELLNESS LLC
Practice address
9645 Giles Rd
La Vista, NE 68128-2928
Phone
(402) 522-6877
Fax
(402) 698-8086
NPI assigned
Jul 30, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Trisha Humphrey
Title
Credentialing Director
Phone
(402) 669-0253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9645 Giles Rd
La Vista, NE 68128-2928

Mailing address

9645 Giles Rd
La Vista, NE 68128-2928
Phone (402) 522-6877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114000956 NE Part B Supplier - Clinic/Group Practice 2769973049 Receives reassigned benefits from 2 practitioners
Practice locations: La Vista, NE

National Provider Directory

National Provider Directory

Locations

9645 Giles Rd
La Vista, NE 68128
Phone (402) 522-6877

Practitioners & affiliated clinicians

Practitioners 2

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": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1184507840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282928",
            "telephone_number": "402-522-6877",
            "fax_number": "402-698-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 GILES RD",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282928",
            "telephone_number": "402-522-6877",
            "fax_number": "402-698-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVITA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "402-669-0253"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.