Vibrant Vitality LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VIBRANT VITALITY LLC

Practice address

9522 NW 65TH St
Tamarac, FL 33321-3550

Phone

(954) 205-1996

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Vashawn Theresa Ireland, NPNPI 1144903428

Title

Family Nurse Practitioner

Phone

(954) 205-1996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Vashawn Theresa Ireland, FNP-BC

  • Family Nurse Practitioner
  • Tamarac, FL
  • NPI 1144903428

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1255137584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 NW 65TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 NW 65TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213550",
            "telephone_number": "954-205-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "VASHAWN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-205-1996",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Velez, SLPA
• Valeria Velez
• Bruno Veliz
• Dinorah Vera, M.D.
• Vivian Vialat Soto, APRN
• Luisa Elizabeth Villagomez, LMHC
• Jonmarly Villarroel Garcia
• Vitality Rehab, LLC
• Jerry Voltaire
• Bharti Wadhwa, RPT

• Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.