PRIME FAMILY CARE
NPI 1629678347
Nurse Practitioner in Round Rock, TX

Active since October 30, 2020CLIA 45D2238231 · Waiver
1000 GATTIS SCHOOL RD STE 440, ROUND ROCK, TX 78664(512) 740-8993 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About Prime Family Care NPPES

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

PRIME FAMILY CARE (NPI 1629678347) is a healthcare organization registered as a nurse practitioner in Round Rock, Texas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through September 30, 2027, maintains a secondary practice location in Cedar Park, and lists Litty R Vadakkan, Provider, as its authorized official.

NPPES Registry Identity

NPI1629678347
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePRIME TELECARE LLC
Location Address1000 GATTIS SCHOOL RD STE 440Round Rock, TX 78664-3313
Mailing Address1000 Gattis School Rd Ste 440Round Rock, TX 78664-3313 · (512) 740-8993
Organization SubpartNo
Authorized OfficialLitty R VadakkanProvider · (512) 740-8993
Enumeration DateOctober 30, 2020
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1629678347 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.

1000 GATTIS SCHOOL RD STE 440, Round Rock, TX 78664

Other Names 1

Doing Business AsPrime Family Care

Secondary Practice Location 1

Location 12251 Bagdad Rd Ste 102Cedar Park, TX 78613-6522 · Phone (512) 740-8993

Group Practice 1

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

Accepted Insurance

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 45D2238231

Prime Telecare LLC, Oba -Prime Family Care · Round Rock, TX
Active · expires Sep 30, 2027
CLIA Number45D2238231
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLitty R. Vadakkan
Laboratory Phone(512) 740-8993
Laboratory LocationPrime Telecare LLC, Oba -Prime Family Care1000 Gattis School Road Suite 440, Round Rock, TX 78664
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prime Telecare LLC's NPI number?

The NPI number for Prime Telecare LLC is 1629678347. It was assigned to this organization in the NPPES registry on October 30, 2020. The provider is doing business as Prime Family Care.

Where is Prime Telecare LLC located?

Prime Telecare LLC is located at 1000 Gattis School Rd Ste 440, Round Rock, TX 78664. The listed phone number is (512) 740-8993.

What is Prime Telecare LLC's specialty?

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

Does Prime Telecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2238231) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Telecare LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Prime Telecare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Telecare LLC was last updated on October 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.