Vita Family Medicine and Medspa LLC
NPI 1730532359 · Family Medicine Physician · Leesburg, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vita Family Medicine and Medspa LLC is a Family Medicine Physician organization in Leesburg, VA (NPI 1730532359).
Provider details
- NPI number
- 1730532359
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Boudreau, Owner/Doctor(717) 805-8264
- License
- 0101258315 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-19
- Last updated
- 2016-10-13
Frequently asked questions
- What is Vita Family Medicine and Medspa LLC's NPI number?
- Vita Family Medicine and Medspa LLC's National Provider Identifier (NPI) is 1730532359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vita Family Medicine and Medspa LLC?
- Vita Family Medicine and Medspa LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vita Family Medicine and Medspa LLC located?
- Vita Family Medicine and Medspa LLC's practice location on file with NPPES is 540 Fort Evans Rd, Leesburg, VA 20176-3379.
- What is Vita Family Medicine and Medspa LLC's phone number?
- The practice phone number listed in the NPPES registry for Vita Family Medicine and Medspa LLC is (703) 737-3500.
- Does Vita Family Medicine and Medspa LLC accept Medicare?
- Vita Family Medicine and Medspa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vita Family Medicine and Medspa LLC?
- The authorized official listed on Vita Family Medicine and Medspa LLC's NPPES record is Jennifer Boudreau, Owner/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vita Family Medicine and Medspa LLC's NPI active?
- Yes — Vita Family Medicine and Medspa LLC's NPI (1730532359) is active in the NPPES registry as of the last update on 2016-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.