Organization Active NPI

Vitality Restorative Medicine PLLC

  • Adult Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1003734633
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
VITALITY RESTORATIVE MEDICINE PLLC
Practice address
1281 W Green Oaks Blvd Ste 129
Arlington, TX 76013-8352
Phone
(817) 201-2328
Fax
(817) 201-2328
NPI assigned
Jul 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Faith Nwawuba, NPNPI 1720642747
Title
Owner
Phone
(817) 201-2328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1281 W Green Oaks Blvd Ste 129
Arlington, TX 76013-8352

Mailing address

1281 W Green Oaks Blvd Ste 129
Arlington, TX 76013-8352
Phone (817) 201-2328

National Provider Directory

National Provider Directory

Locations

1281 W Green Oaks Blvd
Ste 129
Arlington, TX 76013

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1003734633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W GREEN OAKS BLVD STE 129",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138352",
            "telephone_number": "817-201-2328",
            "fax_number": "817-201-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 W GREEN OAKS BLVD STE 129",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138352",
            "telephone_number": "817-201-2328",
            "fax_number": "817-201-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY RESTORATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "NWAWUBA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-201-2328",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.