Vitality Health Center LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VITALITY HEALTH CENTER LLC

Practice address

10111 E 21St St N Ste 315
Wichita, KS 67206-3581

Phone

(877) 393-2492

Fax

(316) 680-9915

NPI assigned

May 25, 2019

Organization subpart

No

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

Authorized official

Name

Sonia Slaba, APRN PMHNP FNP CRNANPI 1598815474

Title

Managing Partner

Phone

(877) 393-2492

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Sonia Slaba, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
  • NPI 1598815474
  Medicare reassignment Care Compare group Authorized official
• Jason H Burk, CRNA, FNP-C, PMHNP

  • Certified Registered Nurse Anesthetist
  • El Dorado, KS
  • NPI 1982751178

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Dean A Heideman, CRNA

  • Certified Registered Nurse Anesthetist
  • Andover, KS
  • NPI 1790868677

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1104483098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 315",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "877-393-2492",
            "fax_number": "316-854-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 315",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "877-393-2492",
            "fax_number": "316-680-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10333 E 21st St N Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063544",
            "country_code": "US",
            "telephone_number": "877-393-2492",
            "fax_number": "316-854-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-25",
        "last_updated": "2024-01-01",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "SLABA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "877-393-2492",
        "authorized_official_credential": "APRN PMHNP FNP CRNA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aiwc.net",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10333 E 21st St N Ste 106",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vitality-hc.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10111 E 21st St N Ste 315",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.