Vibrance Medical Spa & Wellness Center, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9401167 Issued in NC

Legal business name

VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC

Practice address

1006B WH Smith Blvd
Greenville, NC 27834-5051

Phone

(252) 830-9001

Fax

(252) 830-9002

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Myriam M Daniel, MD

Title

Ceo

Phone

(252) 830-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vibrance Internal Medicine Doing business as

Locations

Practitioners 2

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

• Eugenia H Yount, MSN, APRN, BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Greenville, NC
  • NPI 1346200979
  NPD (past)
• Cherrelle Hawkins, RN, CHES(R), CPHT

  • Registered Nurse
  • Tucson, AZ
  • NPI 1598329401
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1215048145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD STE 106",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345278",
            "telephone_number": "252-830-9001",
            "fax_number": "252-830-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006B WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345051",
            "telephone_number": "252-830-9001",
            "fax_number": "252-830-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-830-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9401167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrance Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Paige Vernelson, PA-C
• Paden John Vernon, MD
• Versa Wellness, LLC
• Brittany Paige Vestal, CRNA
• Margaret Vester
• Blair Willis Vick, MS, CCC-SLP
• Elnora Linda Vick
• Susan Burch Vick, PTA
• Virginia McRoy Vickery, M.S.
• Jacquelin N Victory, RN

• Internal Medicine Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.