Organization Active NPI

New Genesis Vitality, PLLC

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1861337511
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW GENESIS VITALITY, PLLC
Practice address
10601 Clarence Dr Ste 250
Frisco, TX 75033-3867
Phone
(903) 401-8001
NPI assigned
Apr 21, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Keith A Kirbow, APRNNPI 1376189308
Title
Managing Partner
Phone
(903) 806-1060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

10601 Clarence Dr Ste 250
Frisco, TX 75033-3867

Mailing address

10601 Clarence Dr Ste 250
Frisco, TX 75033-3867
Phone (903) 401-8001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1861337511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CLARENCE DR STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333867",
            "telephone_number": "903-401-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CLARENCE DR STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333867",
            "telephone_number": "903-401-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GENESIS VITALITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRBOW",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-806-1060",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.