Vital Function Therapies LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VITAL FUNCTION THERAPIES LLC

Practice address

162 E Sunbridge Dr
Fayetteville, AR 72703-2830

Phone

(479) 936-6119

Fax

(479) 521-4161

NPI assigned

Mar 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey Fletcher, IBCLCNPI 1447653431

Title

Owner

Phone

(479) 936-6119

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Fletcher, IBCLC

  • Lactation Consultant (Non-RN)
  • Fayetteville, AR
  • NPI 1447653431
  NPD Authorized official
• Richard David Roblee, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, AR
  • NPI 1336369123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1003675703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-936-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032830",
            "telephone_number": "479-936-6119",
            "fax_number": "479-521-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N Walton Blvd Ste 34",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727125175",
            "country_code": "US",
            "telephone_number": "479-936-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL FUNCTION THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-936-6119",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Adriana Villalobos, DPT, PT
• Krizana M Villatoro, LPC
• Heather Vinti
• Virtual Milestone Academy
• Vista Health Day Treatment
• Story Christian Viviano, O.D.
• Kerri Vollmer, LCSW
• W.a. Lucky LLC.
• Wade Kifer D.D.S., P.a.
• Felecia Wade

• Health Service Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.