Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Vita Family Medicine and Medspa LLC

Family Medicine Physician in Leesburg, VA · enumerated 2016 · authorized official Jennifer Boudreau, Owner/Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730532359

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Registry record

Entity type Organization (Type 2)

Legal business name Vita Family Medicine and Medspa LLC

Practice address 540 Fort Evans Rd, Suite 204, Leesburg, VA, 20176

Phone (703) 737-3500

Fax (703) 737-3550

Enumeration date Jul 19, 2016

Last updated in NPPES Oct 13, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 0101258315 (VA) Secondary

Authorized official

Name Jennifer Boudreau

Title Owner/Doctor

Phone (717) 805-8264

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-13. Verify at npiregistry.cms.hhs.gov.

Where is Vita Family Medicine and Medspa LLC located?

The practice location on file with NPPES is in Leesburg, VA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-13.