Organization Active NPI

Vytal Mobile Health LLC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780245134
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VYTAL MOBILE HEALTH LLC
Practice address
17350 State Highway 249 Ste 222
Houston, TX 77064-1147
Phone
(936) 444-2066
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Ginger Billington Jendro, DNP, FNP-C, APRNNPI 1114473659
Title
Ceo
Phone
(936) 537-0315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

17350 State Highway 249 Ste 222
Houston, TX 77064-1147

Mailing address

12501 Pebble View Dr
Conroe, TX 77304-4233
Phone (806) 632-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190819002395 TX Part B Supplier - Clinic/Group Practice 7113255993 Receives reassigned benefits from 2 practitioners
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

17350 State Highway 249
Ste 222
Houston, TX 77064
Phone (936) 444-2066

10800 Gosling Rd
Unit 130016
Spring, TX 77393

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1780245134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PEBBLE VIEW DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044233",
            "telephone_number": "806-632-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 222",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641147",
            "telephone_number": "936-444-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTAL MOBILE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "JENDRO",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "BILLINGTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-537-0315",
        "authorized_official_credential": "DNP, FNP-C, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.