Active NPI
Vitalcare Family Clinic
- Primary Care Clinic/Center
- Paris, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- VITALCARE FAMILY CLINIC
- Practice address
- 707 Lamar Ave Ste D
Paris, TX 75460-4460 - Phone
- (430) 900-1923
- Fax
- (430) 900-1924
- NPI assigned
- Mar 20, 2023
- Last updated
- Oct 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Nicole Williams, APRN, FNP-C
- Title
- Owner
- Phone
- (430) 900-1923
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
707 Lamar Ave Ste D
Paris, TX 75460-4460
Mailing address
707 Lamar Ave Ste D
Paris, TX 75460-4460
Phone (430) 900-1923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2278931 | Vitalcare Family Clinic | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Paris, TX
- NPI 1336854223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1376245860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 LAMAR AVE STE D",
"city": "PARIS",
"state": "TX",
"postal_code": "754604460",
"telephone_number": "430-900-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LAMAR AVE STE D",
"city": "PARIS",
"state": "TX",
"postal_code": "754604460",
"telephone_number": "430-900-1923",
"fax_number": "430-900-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALCARE FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "430-900-1923",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.