Organization Active NPI

Vital Primary Care

  • Primary Care Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1124701123
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VITAL PRIMARY CARE
Practice address
8040 Parallel Pkwy Ste 112
Kansas City, KS 66112-2072
Phone
(913) 802-2525
Fax
(913) 802-2525
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Ms. Alicia Gail Jones, APRNNPI 1649839960
Title
Nurse Practitioner
Phone
(913) 802-2525

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
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

8040 Parallel Pkwy Ste 112
Kansas City, KS 66112-2072

Mailing address

8273 N Revere Ave
Kansas City, MO 64151-1077
Phone (816) 588-7793

Other names 1

  • Vital Primary Care, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927000828 KS Part B Supplier - Clinic/Group Practice 2264886191 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, KS

National Provider Directory

National Provider Directory

Locations

8040 Parallel Pkwy
Ste 112
Kansas City, KS 66112
Phone (913) 802-2525

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": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1124701123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 N REVERE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511077",
            "telephone_number": "816-588-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 PARALLEL PKWY STE 112",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122072",
            "telephone_number": "913-802-2525",
            "fax_number": "913-802-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "913-802-2525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Primary Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.