NPIMap

Organization Active NPI

Vital Health, LLC

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1013334887
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITAL HEALTH, LLC
Practice address
1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114
Phone
(541) 762-1155
Fax
(541) 726-1154
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Jeanette Welker, FNPNPI 1033217575
Title
Organizer
Phone
(541) 726-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114

Mailing address

1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114
Phone (541) 762-1155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1013334887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-762-1155",
            "fax_number": "541-726-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-762-1155",
            "fax_number": "541-726-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "WELKER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "541-726-1155",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.