NPIMap

Organization Active NPI

Vitality Healthcare PLLC

  • Non-emergency Medical Transport (VAN)
  • Durham, NC
National Provider Identifier
1265197362
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VITALITY HEALTHCARE PLLC
Practice address
4222 Angier Ave
Durham, NC 27703-5941
Phone
(919) 667-5287
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Authorized official

Name
Lotoya Tatum, RNNPI 1912660002
Title
Ceo
Phone
(919) 667-5287

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X
Transportation Broker 347E00000X

Addresses

Primary practice location

4222 Angier Ave
Durham, NC 27703-5941

Mailing address

PO Box 21365
Durham, NC 27703-1365

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL direct Direct

National Provider Directory

National Provider Directory

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1265197362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21365",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277031365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 ANGIER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035941",
            "telephone_number": "919-667-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "LOTOYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-667-5287",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4222 Angier Ave",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277035941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.