Individual provider Active NPI

Lahana Vigliano, CCN

  • Nutritionist
  • West Lake Hills, TX
National Provider Identifier
1295351534
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
108 Wild Basin Rd Ste 250
West Lake Hills, TX 78746-3468
Phone
(512) 501-2611
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU Primary

Addresses

Primary practice location

108 Wild Basin Rd Ste 250
West Lake Hills, TX 78746-3468

Mailing address

108 Wild Basin Rd Ste 250
West Lake Hills, TX 78746-3468
Phone (512) 501-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrival Nutrition, LLC Nutritionist Current Accepting new patients

Locations

108 Wild Basin Rd
Ste 250
West Lake Hills, TX 78746
Phone (214) 363-2345

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1295351534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WILD BASIN RD STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463468",
            "telephone_number": "512-501-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WILD BASIN RD STE 250",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463468",
            "telephone_number": "512-501-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIANO",
        "first_name": "LAHANA",
        "credential": "CCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.