Organization Active NPI

Vitacare Family Practice PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1609286210
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122232 Issued in TX
Legal business name
VITACARE FAMILY PRACTICE PLLC
Practice address
10694 Jones Rd Ste 120
Houston, TX 77065-4236
Phone
(832) 953-3232
Fax
(832) 717-2388
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Vinh Vo, NPNPI 1164772570
Title
Provider
Phone
(832) 953-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP122232 TX Primary

Addresses

Primary practice location

10694 Jones Rd Ste 120
Houston, TX 77065-4236

Mailing address

11399 Veterans Memorial Dr Ste B
Houston, TX 77067-3800
Phone (832) 953-3232

Other practice location 1

11399 Veterans Memorial Dr Ste B
Houston, TX 77067-3800
Phone (832) 953-3232

Other identifiers 1

IdentifierTypeStateIssuer
342428501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105001460 TX Part B Supplier - Clinic/Group Practice 2769705458 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

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
45D2084737Vitacare Family Practice PLLC11399 Veterans Memorial Dr Ste B, Houston, TX 77067Certificate of waiverSep 29, 2026
45D2269521Vitacare Family Practice PLLC10694 Jones Rd Ste 120, Houston, TX 77065Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

11399 Veterans Memorial Dr
Houston, TX 77067
Phone (281) 397-1410

11399 Veterans Memorial Dr
Ste B
Houston, TX 77067
Phone (832) 953-3232

10694 Jones Rd
Ste 120
Houston, TX 77065
Phone (832) 953-3232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9752/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1609286210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11399 VETERANS MEMORIAL DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673800",
            "telephone_number": "832-953-3232",
            "fax_number": "832-717-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10694 JONES RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654236",
            "telephone_number": "832-953-3232",
            "fax_number": "832-717-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11399 Veterans Memorial Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770673800",
            "country_code": "US",
            "telephone_number": "832-953-3232",
            "fax_number": "832-717-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITACARE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "832-953-3232",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342428501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.