Viva Health Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VIVA HEALTH CLINIC, LLC

Practice address

2631 Gattis School Rd Ste 150
Round Rock, TX 78664-2825

Phone

(512) 243-5872

Fax

(512) 243-7130

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Ernesto Marrero, APRNNPI 1104428416

Title

Owner

Phone

(512) 243-5872

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VIVA HEALTH CLINIC, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ernesto Marrero, MSN, FNP

  • Nurse Practitioner
  • Round Rock, TX
  • NPI 1104428416
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1417618281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 JAZZ ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647219",
            "telephone_number": "512-903-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 GATTIS SCHOOL RD STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642825",
            "telephone_number": "512-243-5872",
            "fax_number": "512-243-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-243-5872",
        "authorized_official_credential": "APRN"
    },
    "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": "28496155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVA HEALTH CLINIC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Linda A Vitale, P.A.
• Frederick Phat Ngoc Vo, PHARMD
• Sameera Vohra, M.D
• Aden Thomas Von Arx
• Karla Michele Von Quintus
• Lauren Von Thaden, AGACNP

• Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.