Active NPI
Saskia M Lytle-Vieira, DO
- Neuromusculoskeletal Medicine & OMM Physician
- West Lake Hills, TX
National Provider Identifier
1619180916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- S9345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A11857 | Other | CA | STATE OF CALIFORNIA |
| S9345 | Other | TX | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4457 | OK | MD | Social Worker |
| 20A11857 | CA | MD | Neuromusculoskeletal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.