Individual provider Active NPI

Saskia M Lytle-Vieira, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • West Lake Hills, TX
National Provider Identifier
1619180916
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
S9345 Issued in TX
Practice address
4611 Bee Caves Rd Ste 308
West Lake Hills, TX 78746-5284
Phone
(512) 638-2979
Fax
(866) 466-6438
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A11857 CA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X S9345 TX Primary

Addresses

Primary practice location

4611 Bee Caves Rd Ste 308
West Lake Hills, TX 78746-5284

Mailing address

4611 Bee Caves Rd Ste 308
West Lake Hills, TX 78746-5284
Phone (512) 638-2979

Other identifiers 2

IdentifierTypeStateIssuer
20A11857OtherCASTATE OF CALIFORNIA
S9345OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4457OKMDSocial Worker
20A11857CAMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1619180916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 BEE CAVES RD STE 308",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465284",
            "telephone_number": "512-638-2979",
            "fax_number": "866-466-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 BEE CAVES RD STE 308",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465284",
            "telephone_number": "512-638-2979",
            "fax_number": "866-466-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE-VIEIRA",
        "first_name": "SASKIA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A11857",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "S9345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "20A11857",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S9345",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.