Organization Active NPI

D Vine Beauty Studio

Doing business as D'Vine Beauty Clinic, Telemedicine and Family Care

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1457942278
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
D VINE BEAUTY STUDIO
Doing business as
D'Vine Beauty Clinic, Telemedicine and Family Care
Practice address
1309 S 10TH St
McAllen, TX 78501-5023
Phone
(956) 533-3860
NPI assigned
Feb 3, 2021
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Brenda PerezNPI 1104334192
Title
Owner/Nurse Practitioner
Phone
(956) 360-7889

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 Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1309 S 10TH St
McAllen, TX 78501-5023

Mailing address

1309 S 10TH St
McAllen, TX 78501-5023

Other names 1

  • D'Vine Beauty Clinic, Telemedicine and Family Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2244987D Vine Beauty Studio1309 S 10TH Street, McAllen, TX 78501Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Locations

1309 S 10th St
McAllen, TX 78501
Phone (956) 360-7889

Practitioners & affiliated clinicians

Practitioners 2

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1457942278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015023",
            "telephone_number": "956-533-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D VINE BEAUTY STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-360-7889"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'Vine Beauty Clinic, Telemedicine and Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D'Vine Beauty Clinic, Telemedicine and Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.