Alpha Vita Healthcare
Organization Active NPI Family Nurse Practitioner · Kenosha, WI
NPI 1609783182 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1609783182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ALPHA VITA HEALTHCARE
- Practice address
- 6530 Sheridan Rd
Kenosha, WI 53143-5063 - Phone
- (262) 657-8360
- Fax
- (262) 657-8389
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
Authorized official
- Name
- Rebecca Rodriguez, APRN
- Title
- Owner
- Phone
- (262) 705-6846
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
6530 Sheridan Rd
Kenosha, WI 53143-5063
Mailing address
6530 Sheridan Rd
Kenosha, WI 53143-5063
Phone (262) 657-8360
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All providers in Kenosha, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.