Individual provider Active NPI

Sellma Vllasi-White, FNP

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1811277056
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
674830 Issued in TX
Practice address
2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968
Phone
(512) 345-8970
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 674830 TX Primary

Addresses

Primary practice location

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968

Mailing address

2500 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2968
Phone (512) 345-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190907000125 TX Practitioner - Nurse Practitioner 4587993118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

2500 S Lakeline Blvd
Suite 100
Cedar Park, TX 78613-2968
Phone (512) 345-8970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
674830TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiseman Family Practice PLLC CurrentSince May 17, 2019 Accepting new patients

Locations

2500 S Lakeline Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 345-8970

Interoperability endpoints

  • Direct secure messaging: sellma.vllasiwhite@wiseman.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1811277056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLLASI-WHITE",
        "first_name": "SELLMA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "674830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.