Active NPI
Vital Sleep, LLC
- Durable Medical Equipment & Medical Supplies
- Austin, TX
National Provider Identifier
1912080219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0076806A
- Legal business name
- VITAL SLEEP, LLC
- Practice address
- 9707 Anderson Mill Rd Ste 150
Austin, TX 78750-2298 - Phone
- (318) 222-0885
- Fax
- (318) 222-0883
- NPI assigned
- Oct 23, 2006
- 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
- Lea Desmarteau
- Title
- Ceo
- Phone
- (318) 222-0885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0076806A | TX | Primary |
Addresses
Primary practice location
9707 Anderson Mill Rd Ste 150
Austin, TX 78750-2298
Mailing address
8835 Line Ave
Suite 500
Shreveport, LA 71106-6722
Phone (318) 222-0885
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3457215 | Other | TX | CIGNA PROVIDER NUMBER |
| 531029 | Other | TX | BCBS DME PROVIDER NUMBER |
| 7365296 | Other | TX | AETNA PROVIDER NUMBER |
| PL7071 | Other | TX | BCBS DX PROVIDER NUMBER |
Other names 1
- Wellnecessities of Dallas
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1912080219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 LINE AVE",
"address_2": "SUITE 500",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066722",
"telephone_number": "318-222-0885",
"fax_number": "318-222-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 ANDERSON MILL RD STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787502298",
"telephone_number": "318-222-0885",
"fax_number": "318-222-0883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL SLEEP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "DESMARTEAU",
"authorized_official_first_name": "LEA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-222-0885"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0076806A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "3457215",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME PROVIDER NUMBER",
"identifier": "531029",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7365296",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DX PROVIDER NUMBER",
"identifier": "PL7071",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellnecessities of Dallas",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.