Vitality Health and Wellness PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5004454 Issued in NC

Legal business name

VITALITY HEALTH AND WELLNESS PLLC

Practice address

1429 E Fire Tower Rd
Ste 104
Greenville, NC 27858-5730

Phone

(252) 364-2802

Fax

(252) 207-0709

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon I Speece, RN, MSN, ANPNPI 1164654893

Title

Owner

Phone

(252) 364-2802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Practitioners 3

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

• Shannon Ivy Speece, ANP

  • Adult Health Nurse Practitioner
  • Goldsboro, NC
  • NPI 1164654893
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Mitchell, D.O.

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1952480048
  Medicare reassignment Care Compare group
• Bliss Davis Norville, FNP

  • Family Nurse Practitioner
  • Smithfield, NC
  • NPI 1437624442
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1164742870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E FIRETOWER RD",
            "address_2": "STE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585731",
            "telephone_number": "252-364-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E FIRE TOWER RD",
            "address_2": "STE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585730",
            "telephone_number": "252-364-2802",
            "fax_number": "252-207-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "SPEECE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-364-2802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Viscardi, M.D.
• Vision Beyond Home Care Services, LLC.
• Paige Vissman
• Vital Care Transit
• Vitality Clinical Services, PLLC
• Roger Vithalani, MD
• Viva Med PLLC
• Luke A Vlahos
• Nancy Louise Vogel, MD
• Nasreen A Vohra, M.D.

• Adult Health Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.