VIVA HEALTH CLINIC, LLC
NPI 1417618281
Nurse Practitioner in Round Rock, TX

Active since January 04, 2022CLIA 45D2285950 · Waiver
2631 GATTIS SCHOOL RD STE 150, ROUND ROCK, TX 78664(512) 243-5872(512) 243-7130 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, May 26, 2023, Jan 4, 2022 (3 updates tracked since 2022).

About Viva Health Clinic, Llc NPPES

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

VIVA HEALTH CLINIC, LLC (NPI 1417618281) is a healthcare organization registered as a nurse practitioner in Round Rock, Texas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Ernesto Marrero, Owner, as its authorized official.

NPPES Registry Identity

NPI1417618281
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameVIVA HEALTH CLINIC, LLC
Location Address2631 GATTIS SCHOOL RD STE 150Round Rock, TX 78664-2825
Mailing Address3130 Jazz StRound Rock, TX 78664-7219 · (512) 903-6741
Fax(512) 243-7130
Organization SubpartNo
Authorized OfficialErnesto MarreroOwner · (512) 243-5872
Enumeration DateJanuary 4, 2022
Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
NPI 1417618281 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.
2631 GATTIS SCHOOL RD STE 150, Round Rock, TX 78664

Other Names 1

Doing Business AsViva Health Clinic, Llc

Other Identifiers 1

Medicaid28496155TX

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 45D2285950

Viva Health Clinic, LLC · Round Rock, TX
Active · expires Jul 19, 2027
CLIA Number45D2285950
Laboratory TypePractitioner Other
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorErnesto Marrero
Laboratory Phone(737) 349-1988
Laboratory LocationViva Health Clinic, LLC2631 Gattis School Rd, Suite 150, Round Rock, TX 78664
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
2631 GATTIS SCHOOL RD STE 150
ROUND ROCK, TX 78664

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 Viva Health Clinic, LLC's NPI number?

The NPI number for Viva Health Clinic, LLC is 1417618281. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Viva Health Clinic, LLC located?

Viva Health Clinic, LLC is located at 2631 Gattis School Rd Ste 150, Round Rock, TX 78664. The listed phone number is (512) 243-5872.

What is Viva Health Clinic, LLC's specialty?

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

Does Viva Health Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2285950) is associated with this NPI, valid through July 19, 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 Viva Health Clinic, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.