Organization Active NPI

Virtis Health, LLC

  • Medical Specialty Clinic/Center
  • Pewaukee, WI
National Provider Identifier
1679187140
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VIRTIS HEALTH, LLC
Practice address
285 Forest Grove Dr Ste 124
Pewaukee, WI 53072-3716
Phone
(833) 765-3648
NPI assigned
Sep 2, 2020
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Ronald P Lindahl
Title
Coo
Phone
(833) 765-3648

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Medical Specialty Clinic/Center 261QM2500X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

285 Forest Grove Dr Ste 124
Pewaukee, WI 53072-3716

Mailing address

2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (833) 765-3648

National Provider Directory

National Provider Directory

Locations

2100 Riverchase Ctr
Ste 310
Hoover, AL 35244
Phone (205) 994-7103

1757 E Baseline Rd
Ste 133
Gilbert, AZ 85233
Phone (480) 448-3999

402 Northlake Blvd
Ste 1000
Altamonte Springs, FL 32701
Phone (407) 233-3630

3291 E Warm Springs Rd
Las Vegas, NV 89120

285 Forest Grove Dr
Ste 105
Pewaukee, WI 53072
Phone (262) 264-6305

285 Forest Grove Dr
Ste 124
Pewaukee, WI 53072
Phone (262) 264-7130

Practitioners & affiliated clinicians

Practitioners 1

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": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1679187140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NETWORK BLVD STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341895",
            "telephone_number": "833-765-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 124",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723716",
            "telephone_number": "833-765-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTIS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "LINDAHL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "833-765-3648"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.