Nova Vita Wellness Centers- Westlake

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NOVA VITA WELLNESS CENTERS- WESTLAKE

Practice address

200 N Lakeline Blvd Ste C
Cedar Park, TX 78613-2090

Phone

(512) 387-5920

NPI assigned

Apr 4, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peyton ThompsonNPI 1861439069

Title

Medical Director

Phone

(512) 460-7244

Specialties & licenses 4

Addresses

Locations

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.

• Peyton Thompson, MD

  • General Practice Physician
  • Manor, TX
  • NPI 1861439069
  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1538864871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE C",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132090",
            "telephone_number": "512-387-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE C",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132090",
            "telephone_number": "512-387-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITA WELLNESS CENTERS- WESTLAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-09-06",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-460-7244"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Austin Dialysis LLC (Cedar Park Dialysis Center)
• North Austin Foot & Ankle Institute PLLC
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northwest Dental Associates P.a.
• Hermelinda Norwood, D.D,S.
• Novion Diagnostics
• Novion Genomics Inc
• Jennifer D Nuessner, PA-C
• Nurture Family Counseling, PLLC
• Ramasunanda Nushisarva, NP

• Health Service Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.