Nova Vida LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NOVA VIDA LLC

Doing business as

Nova Vida Wellness

Practice address

12975 Highland Rd Unit 11
Highland, MD 20777-7501

Phone

(240) 883-6984

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Sanchez, DNP, CRNP, FNP-CNPI 1255162418

Title

Owner

Phone

(240) 883-6984

Specialties & licenses 1

Addresses

Other names 1

• Nova Vida Wellness Doing business as

Locations

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.

• Nicole Kiara Sanchez, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Highland, MD
  • NPI 1255162418
  NPD Authorized official

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1245055193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 HIGHLAND RD UNIT 11",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207777501",
            "telephone_number": "240-883-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 HIGHLAND RD UNIT 11",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207777501",
            "telephone_number": "240-883-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-883-6984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Vida Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rudolph Francin PHD LLC
• Nicole Kiara Sanchez, DNP, CRNP, FNP-C

• Medical Specialty Clinic/Center in Highland, MD
• Providers in Highland, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.