Vital Cure Primary Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VITAL CURE PRIMARY SERVICES LLC

Practice address

8508 Loch Raven Blvd Ste a
Baltimore, MD 21286-2354

Phone

(443) 377-5743

Fax

(443) 352-7015

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Courtney Michelle Roberts, APRNNPI 1710644950

Title

Owner/ Aprn

Phone

(443) 622-9248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Courtney Michelle Roberts, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1710644950

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1104677913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 NORWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076839",
            "telephone_number": "443-622-9248",
            "fax_number": "443-352-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 LOCH RAVEN BLVD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862354",
            "telephone_number": "443-377-5743",
            "fax_number": "443-352-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CURE PRIMARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ APRN",
        "authorized_official_telephone_number": "443-622-9248",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Lauren Vitale, MD
• Vitality 360 Health Care LLC
• Vitality 360 Inc
• Vitality 360 of Baltimore at Providence

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.