Individual provider Active NPI

Viana Mora, C-IAYTYOGA THERAPIST

  • Specialist
  • San Antonio, TX
National Provider Identifier
1316512437
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
8620 N New Braunfels Ave Ste 414
San Antonio, TX 78217-6362
Phone
(210) 334-9642
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8620 N New Braunfels Ave Ste 414
San Antonio, TX 78217-6362

Mailing address

8620 N New Braunfels Ave Ste 414
San Antonio, TX 78217-6362
Phone (210) 334-9642

Other practice location 1

8620 N New Braunfels Ave Ste 541
San Antonio, TX 78217-6360
Phone (210) 334-9642

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.thegracetreefoundation.com/ Direct
CONNECT URL SimplePracticeManagement Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1316512437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 N NEW BRAUNFELS AVE STE 414",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176362",
            "telephone_number": "210-334-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 N NEW BRAUNFELS AVE STE 414",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176362",
            "telephone_number": "210-334-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8620 N New Braunfels Ave Ste 541",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782176360",
            "country_code": "US",
            "telephone_number": "210-334-9642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "VIANA",
        "name_prefix": "Mrs.",
        "credential": "C-IAYTYOGA THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.thegracetreefoundation.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8620 N New Braunfels Ave Ste 414",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782176362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePracticeManagement",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "8620 N New Braunfels Ave Ste 541",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782176360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.