Vitalistic Wellness Institute LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITALISTIC WELLNESS INSTITUTE LLC

Practice address

326 1/2 Caldwell Blvd
Nampa, ID 83651-1926

Phone

(208) 242-4476

NPI assigned

Oct 25, 2024

Last updated

Apr 10, 2025By 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

Pamela Joan Watterson

Title

Credentialing Agent

Phone

(509) 961-3849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Javier Del Hoyo Herrera, DC

  • Chiropractor
  • Nampa, ID
  • NPI 1467205732
  Medicare reassignment NPD
• Heidi April, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1063928448
  NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1295557866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 NEZ PERCE RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078063",
            "telephone_number": "208-242-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 1/2 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511926",
            "telephone_number": "208-242-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALISTIC WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "WATTERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "509-961-3849"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Velasco Villarica
• Michael Vincen-Brown, PA-C
• Laura Marie Vincent, M.S. CCC-SLP
• Maddison Vincent, LPC
• Dana Vineyard, RN
• Vida Vreca-Ponnequin, FNP-BC
• Florentina Isabele Vulcan, APRN
• Stephane P Wabo, PHARMD
• Katherine Renee Wade, MASTERS
• Amy Ann Waetje, PHARM D

• Chiropractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.