NPIMap

Organization Active NPI

Medivita Health

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1386279990
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDIVITA HEALTH
Practice address
5833 Spohn Dr Ste 101B
Corpus Christi, TX 78414-4136
Phone
(361) 462-8080
NPI assigned
Mar 4, 2020
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mrs. Sylvia J. McMahan, FNP-CNPI 1811481302
Title
Ceo, Provider
Phone
(361) 947-3601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5833 Spohn Dr Ste 101B
Corpus Christi, TX 78414-4136

Mailing address

5833 Spohn Dr Ste 101B
Corpus Christi, TX 78414-4136
Phone (361) 462-8080

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1386279990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR STE 101B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144136",
            "telephone_number": "361-462-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR STE 101B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144136",
            "telephone_number": "361-462-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVITA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO, PROVIDER",
        "authorized_official_telephone_number": "361-947-3601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.