PRIME TELECARE LLC
NPI 1629678347
Nurse Practitioner - Family in Round Rock, TX
About Prime Telecare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME TELECARE LLC (NPI 1629678347) is a healthcare organization registered as a family 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 and lists Litty Rose Vadakkan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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, TXFrequently 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.
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, specializing in Family, with taxonomy code 363LF0000X.
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 July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Prime Telecare Llc · NPI 1629678347
Family organization in Round Rock, Texas. Organization record, active in the CMS NPPES registry since October 30, 2020.
## Identity
- **NPI:** 1629678347 (Entity type: Organization)
- **Enumerated:** October 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Litty Vadakkan, OWNER
## Practice location
- **Address:** 1000 GATTIS SCHOOL RD STE 440, Round Rock, TX 78664-3313
- **Phone:** (512) 740-8993
## Record status
- **NPPES last updated:** July 21, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1629678347) · Data from the CMS NPPES public registry.