NORTH TEXAS NUTRITION & WELLNESS
NPI 1083424295
Nurse Practitioner in Gainesville, TX

Active since January 09, 2025CLIA 45D2225517 · Waiver
903 E BROADWAY ST, GAINESVILLE, TX 76240(940) 336-4584 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, Jan 9, 2025 (2 updates tracked since 2025).

About North Texas Nutrition & Wellness NPPES

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

NORTH TEXAS NUTRITION & WELLNESS (NPI 1083424295) is a healthcare organization registered as a nurse practitioner in Gainesville, Texas and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through May 20, 2027, maintains a secondary practice location in Valley View, and lists Kacye Michelle Vann, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1083424295
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNORTH TEXAS NUTRITION & WELLNESS
Location Address903 E BROADWAY STGainesville, TX 76240-4235
Mailing AddressPo Box 308Valley View, TX 76272-0308 · (940) 736-5317
Organization SubpartYesParent: Kacye M Vann Nurse Practitioner
Authorized OfficialKacye Michelle VannOwner/provider · (940) 736-5317
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1083424295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

903 E BROADWAY ST, Gainesville, TX 76240

Secondary Practice Location 1

Location 11030 E Lone Oak RdValley View, TX 76272-7303 · Phone (940) 736-5317

Other Identifiers 2

Other1689279374Commercial Insurance
Medicaid1689279374TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 45D2225517

North Texas Nutrition & Wellness · Gainesville, TX
Active · expires May 20, 2027
CLIA Number45D2225517
Laboratory TypePractitioner Other
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorKacye M. Vann
Laboratory Phone(940) 336-4584
Laboratory LocationNorth Texas Nutrition & Wellness903 East Broadway, Gainesville, TX 76240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Chiropractor
903 E BROADWAY ST
GAINESVILLE, TX 76240
Chiropractor
903 E BROADWAY ST
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
903 E BROADWAY ST
GAINESVILLE, TX 76240
Nurse Practitioner
903 E BROADWAY ST
GAINESVILLE, TX 76240

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 North Texas Nutrition & Wellness's NPI number?

The NPI number for North Texas Nutrition & Wellness is 1083424295. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is North Texas Nutrition & Wellness located?

North Texas Nutrition & Wellness is located at 903 E Broadway St, Gainesville, TX 76240. The listed phone number is (940) 336-4584.

What is North Texas Nutrition & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does North Texas Nutrition & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2225517) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Texas Nutrition & Wellness was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.