NPIMap

Organization Active NPI

Vita Tempus, LLC

  • Family Nurse Practitioner
  • Clinton, MS
National Provider Identifier
1104662279
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITA TEMPUS, LLC
Practice address
134 Fairmont St Ste C
Clinton, MS 39056-4739
Phone
(769) 348-3330
Fax
(769) 348-3351
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Mrs. Prince S McClinton, NPNPI 1386031813
Title
Co-Owner/FNP
Phone
(769) 348-3330

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

134 Fairmont St Ste C
Clinton, MS 39056-4739

Mailing address

134 Fairmont St Ste C
Clinton, MS 39056-4739
Phone (769) 348-3330

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1104662279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FAIRMONT ST STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564739",
            "telephone_number": "769-348-3330",
            "fax_number": "769-348-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 FAIRMONT ST STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564739",
            "telephone_number": "769-348-3330",
            "fax_number": "769-348-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA TEMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MCCLINTON",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER/FNP",
        "authorized_official_telephone_number": "769-348-3330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.