Organization Active NPI

Vida Family Health LLC

  • Primary Care Clinic/Center
  • Lawrence, MA
National Provider Identifier
1336093335
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VIDA FAMILY HEALTH LLC
Practice address
25 Marston St Ste 405
Lawrence, MA 01841-2359
Phone
(978) 669-4992
Fax
(978) 669-4991
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Authorized official

Name
Jonnathan Ramon Reyes Luna, FNPNPI 1851008130
Title
Managing Member
Phone
(978) 669-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

25 Marston St Ste 405
Lawrence, MA 01841-2359

Mailing address

25 Marston St Ste 405
Lawrence, MA 01841-2359
Phone (978) 669-4992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260324000391 MA Part B Supplier - Clinic/Group Practice 2365926870 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2341243Vida Family Health LLC25 Marston Street, Lawrence, MA 01841Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772323200000",
    "number": "1336093335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 405",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412359",
            "telephone_number": "978-669-4992",
            "fax_number": "978-669-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST STE 405",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412359",
            "telephone_number": "978-669-4992",
            "fax_number": "978-669-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "REYES LUNA",
        "authorized_official_first_name": "JONNATHAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "978-669-4992",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.