Vintage Primary Care, PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VINTAGE PRIMARY CARE, PLLC

Practice address

201 Pruitt Rd Apt 430
Spring, TX 77380-3167

Phone

(973) 640-0074

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Chinyere ObiakwataNPI 1043732555

Title

NP

Phone

(973) 640-0074

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinyere Obiakwata, NP

  • Primary Care Nurse Practitioner
  • Spring, TX
  • NPI 1043732555
  NPD (past) Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1679036693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PRUITT RD APT 430",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803167",
            "telephone_number": "973-640-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRUITT RD APT 430",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803167",
            "telephone_number": "973-640-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "OBIAKWATA",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "973-640-0074"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Villegas-Lopez, PT
• Lizette Nayelie Villegas
• Vanessa Vincent, PSYD, MA
• Betty Thao Vinh, O.D.
• Kristen Gabrielle Mayden Vinson
• Rachel Rachel Vishnevsky
• Vishnupriya Kurukundu PLLC
• Lakshmi Vishwanat, DDS, MS
• Vision Discovery, PLLC
• Vision Learning Center, P.a.

• Home Health Agency in Spring, TX
• Providers in Spring, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.