Active NPI
Carol Kitay Villanueva, DO
- Internal Medicine Physician
- Rockwall, TX
National Provider Identifier
1427269802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M9721
- Practice address
- 6701 Heritage Pkwy
Ste 160
Rockwall, TX 75087-8747 - Phone
- (972) 412-2113
- Fax
- (972) 412-3991
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M9721 | TX | Primary |
| Internal Medicine Physician | 207R00000X | PENDING | TX |
Addresses
Primary practice location
6701 Heritage Pkwy
Ste 160
Rockwall, TX 75087-8747
Mailing address
6701 Heritage Pkwy
Ste 160
Rockwall, TX 75087-8747
Phone (972) 412-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TX | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Wellness & Hormone Balancing | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Forney, TX
- NPI 1083037683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1427269802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 HERITAGE PKWY",
"address_2": "STE 160",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750878747",
"telephone_number": "972-412-2113",
"fax_number": "972-412-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 HERITAGE PKWY",
"address_2": "STE 160",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750878747",
"telephone_number": "972-412-2113",
"fax_number": "972-412-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "CAROL",
"middle_name": "KITAY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M9721",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "PENDING",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.