Ellen Vital Solution LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELLEN VITAL SOLUTION LLC

Practice address

9711 S Mason Rd Ste 125-650
Richmond, TX 77407-7167

Phone

(281) 941-2887

Fax

(281) 816-1001

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ebere Opara, NP-C

Title

Family Nurse Practitioner

Phone

(346) 313-0150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1487229472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE 125-650",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "281-941-2887",
            "fax_number": "281-816-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 S MASON RD STE 125-650",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077167",
            "telephone_number": "281-941-2887",
            "fax_number": "281-816-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN VITAL SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "OPARA",
        "authorized_official_first_name": "EBERE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "346-313-0150",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Richmond, TX
• Providers in Richmond, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.