NPIMap

Organization Active NPI

Holistic Virtual-Jantif Healthcare

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396402624
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HOLISTIC VIRTUAL-JANTIF HEALTHCARE
Doing business as
Holistic Virtual-Jantif Healthcare
Practice address
10907 Vanderford Dr
Houston, TX 77099-4764
Phone
(713) 374-5121
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Iyoha Florence, FNP
Title
Owner
Phone
(713) 374-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

10907 Vanderford Dr
Houston, TX 77099-4764

Mailing address

10907 Vanderford Dr
Houston, TX 77099-4764
Phone (713) 374-5121

Other identifiers 1

IdentifierTypeStateIssuer
14044324MedicaidTX

Other names 1

  • Holistic Virtual-Jantif Healthcare Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address iyoha.florence@medicalrcm.us Direct
Direct Messaging Address iyoha.florence@medicalrcm.us Direct

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1396402624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 VANDERFORD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994764",
            "telephone_number": "713-374-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 VANDERFORD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994764",
            "telephone_number": "713-374-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC VIRTUAL-JANTIF HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "IYOHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-374-5121",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14044324",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iyoha.florence@medicalrcm.us",
            "affiliation": "N",
            "endpointDescription": "iyoha.florence@medicalrcm.us",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10907 Vanderford Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770994764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iyoha.florence@medicalrcm.us",
            "affiliation": "N",
            "endpointDescription": "iyoha.florence@medicalrcm.us",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10907 Vanderford Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770994764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Holistic Virtual-Jantif Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.