Love Field Clinic Plano LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LOVE FIELD CLINIC PLANO LLC

Doing business as

Clinica Hispana Vida Sana

Practice address

2300 14TH St Ste 145
Plano, TX 75074-6445

Phone

(469) 277-8858

Fax

(469) 001-9543

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Luis Fonseca, FNP-C

Title

Family Nurse Practitioner

Phone

(469) 277-8858

Specialties & licenses 1

Addresses

Other names 1

• Clinica Hispana Vida Sana Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1740997220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "469-277-8858",
            "fax_number": "469-001-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "469-277-8858",
            "fax_number": "469-001-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE FIELD CLINIC PLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-277-8858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director@chvidasana.com",
            "affiliation": "N",
            "endpointDescription": "Private practice domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private practice login",
            "address_1": "2300 14th St Ste 145",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750746445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clinica Hispana Vida Sana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinica Hispana Vida Sana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kayla Love
• Verlon D. Love, PT
• Lovecrest Healthcare Inc.
• Dustin Michael Loveland, M.D.

• Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.