Organization Active NPI

Buena Vida Healthcare

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1780418632
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BUENA VIDA HEALTHCARE
Practice address
9550 Skillman St Ste 501
Dallas, TX 75243-8261
Phone
(214) 305-6668
NPI assigned
Aug 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Authorized official

Name
Angelica Soto, FNPNPI 1508258716
Title
Family Nurse Practitioner
Phone
(214) 305-6668

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9550 Skillman St Ste 501
Dallas, TX 75243-8261

Mailing address

814 Smith LN
Seagoville, TX 75159-1831
Phone (469) 835-3011

National Provider Directory

National Provider Directory

Locations

9550 Skillman St
Ste 501
Dallas, TX 75243
Phone (214) 305-6668

Practitioners & affiliated clinicians

Practitioners 1

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": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1780418632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SMITH LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591831",
            "telephone_number": "469-835-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 SKILLMAN ST STE 501",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438261",
            "telephone_number": "214-305-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-305-6668",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.