Vibrant Vitality Medical Wellness Center PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

50005071A Issued in IN

Legal business name

VIBRANT VITALITY MEDICAL WELLNESS CENTER PC

Doing business as

Noblesville Urgent Care

Practice address

509 Sheridan Rd
Noblesville, IN 46060-1317

Phone

(317) 678-6402

Fax

(317) 678-6408

NPI assigned

Feb 18, 2016

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Nicole Engle

Title

Administrator

Phone

(317) 678-6402

Specialties & licenses 1

Addresses

Other names 1

• Noblesville Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

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 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted T Lai, M.D.

  • Family Medicine Physician
  • Noblesville, IN
  • NPI 1982691671
  Medicare reassignment Care Compare group NPD
• Grace Ochs

  • Family Nurse Practitioner
  • Noblesville, IN
  • NPI 1558079897
  Medicare reassignment Care Compare group NPD
• Madison Leigh Short, PA-C

  • Physician Assistant
  • Noblesville, IN
  • NPI 1578305009
  Medicare reassignment Care Compare group
• Rebecca Kay Barger, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Terre Haute, IN
  • NPI 1275072811
  Medicare reassignment NPD
• Nicholle M Hise, NP

  • Nurse Practitioner
  • Tipton, IN
  • NPI 1023472735
  Medicare reassignment NPD
• Sei Young Kwak

  • Family Nurse Practitioner
  • Carmel, IN
  • NPI 1689126674
  Medicare reassignment NPD
• Scott F Wood, N.P.

  • Family Nurse Practitioner
  • West Lafayette, IN
  • NPI 1912449273
  Medicare reassignment NPD

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1265891279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SHERIDAN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601317",
            "telephone_number": "317-678-6402",
            "fax_number": "317-678-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SHERIDAN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601317",
            "telephone_number": "317-678-6402",
            "fax_number": "317-678-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT VITALITY MEDICAL WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-678-6402"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "50005071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noblesville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Marie Vanhoosier, PA
• Kelsi Anne Vargas, NP-C
• Venture Life Services
• Christian O Verhagen, M.D.
• Kathleen M Vescelus, LCSW
• Victoria Rehab LLC
• Zachary Robert Viduya, DPT
• Cecilia Ray Vigren, PT
• Village Osteopath
• Abigail Vincent

• General Practice Physician in Noblesville, IN
• Providers in Noblesville, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.