CLINICA HISPANA VIDA SANA
NPI 1740997220
Nurse Practitioner in Plano, TX

Active since November 03, 2022CLIA 45D2241552 · Waiver
2300 14TH ST STE 145, PLANO, TX 75074(469) 277-8858(469) 001-9543 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Nov 3, 2022 (2 updates tracked since 2022).

About Clinica Hispana Vida Sana NPPES

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

CLINICA HISPANA VIDA SANA (NPI 1740997220) is a healthcare organization registered as a nurse practitioner in Plano, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Rafael Luis Fonseca, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1740997220
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLOVE FIELD CLINIC PLANO LLC
Location Address2300 14TH ST STE 145Plano, TX 75074-6445
Mailing Address2300 14th St Ste 145Plano, TX 75074-6445 · (469) 277-8858 · Fax (469) 001-9543
Fax(469) 001-9543
Organization SubpartNo
Authorized OfficialRafael Luis FonsecaFamily Nurse Practitioner · (469) 277-8858
Enumeration DateNovember 3, 2022
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1740997220 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.

2300 14TH ST STE 145, Plano, TX 75074

Other Names 1

Doing Business AsClinica Hispana Vida Sana

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 45D2241552

Clinica Hispana Vida Sana · Plano, TX
Active · expires Oct 28, 2027
CLIA Number45D2241552
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorRafael L. Fonseca Rodriguez
Laboratory Phone(972) 904-0812
Laboratory LocationClinica Hispana Vida Sana2300 14th St Suite 145, Plano, TX 75074
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 3

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

Nurse Practitioner (Family)
2300 14TH ST STE 145
PLANO, TX 75074
Nurse Practitioner (Family)
2300 14TH ST STE 145
PLANO, TX 75074
Nurse Practitioner (Family)
2300 14TH ST STE 145
PLANO, TX 75074

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 Love Field Clinic Plano LLC's NPI number?

The NPI number for Love Field Clinic Plano LLC is 1740997220. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Clinica Hispana Vida Sana.

Where is Love Field Clinic Plano LLC located?

Love Field Clinic Plano LLC is located at 2300 14th St Ste 145, Plano, TX 75074. The listed phone number is (469) 277-8858.

What is Love Field Clinic Plano LLC's specialty?

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

Does Love Field Clinic Plano LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2241552) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Love Field Clinic Plano 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 2 other insurers list Love Field Clinic Plano 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 Love Field Clinic Plano LLC was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.