VITALCARE TELEMEDICINE LLC
NPI 1053909705
Family Medicine in Corpus Christi, TX

Active since January 07, 2021CLIA 45D2199444 · Waiver
15957 PUNTA ESPADA LOOP, CORPUS CHRISTI, TX 78418(361) 214-6367(779) 204-4430 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, Jan 7, 2021 (2 updates tracked since 2021).

About Vitalcare Telemedicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALCARE TELEMEDICINE LLC (NPI 1053909705) is a healthcare organization registered as a family medicine in Corpus Christi, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists William Joseph Stith, Collaborative Physician, as its authorized official.

NPPES Registry Identity

NPI1053909705
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALCARE TELEMEDICINE LLC
Location Address15957 PUNTA ESPADA LOOPCorpus Christi, TX 78418-6626
Mailing Address14493 S Padre Island Dr Ste A-5012Corpus Christi, TX 78418-5931 · (361) 214-6367
Fax(779) 204-4430
Organization SubpartNo
Authorized OfficialWilliam Joseph StithCollaborative Physician · (361) 904-3637
Enumeration DateJanuary 7, 2021
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1053909705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
15957 PUNTA ESPADA LOOP, Corpus Christi, TX 78418

Other Identifiers 1

Other1760678940TX · Npi

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2199444

Vitalcare Telemedicine · Corpus Christi, TX
Active · expires Nov 8, 2026
CLIA Number45D2199444
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorAngela Smith
Laboratory Phone(361) 214-3637
Laboratory LocationVitalcare Telemedicine15957 Punta Espada Loop, Corpus Christi, TX 78418
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
15957 PUNTA ESPADA LOOP
CORPUS CHRISTI, TX 78418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitalcare Telemedicine LLC's NPI number?

The NPI number for Vitalcare Telemedicine LLC is 1053909705. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Vitalcare Telemedicine LLC located?

Vitalcare Telemedicine LLC is located at 15957 Punta Espada Loop, Corpus Christi, TX 78418. The listed phone number is (361) 214-6367.

What is Vitalcare Telemedicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vitalcare Telemedicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2199444) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitalcare Telemedicine LLC was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.