Active NPI
Vytal Mobile Health LLC
- Primary Care Nurse Practitioner
- Houston, TX
National Provider Identifier
1780245134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- The Woodlands, TX
- NPI 1114473659
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1003367970
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.