Vitality Medspa, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VITALITY MEDSPA, LLC.

Practice address

4434 E Brown Rd
102
Mesa, AZ 85205-4085

Phone

(480) 854-8000

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Shay Tyler

Title

Owner

Phone

(480) 854-8000

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Margaret Husami, NMD

  • Naturopath
  • Mesa, AZ
  • NPI 1730331273
  NPD (past)
• Ashwin M. Reddy, M.D.

  • Addiction Psychiatry Physician
  • Phoenix, AZ
  • NPI 1942438601
  NPD (past)
• Elizabeth Sadler

  • Obstetrics & Gynecology Nurse Practitioner
  • Mesa, AZ
  • NPI 1528459781
  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1306187893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 E BROWN RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054085",
            "telephone_number": "480-854-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 E BROWN RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054085",
            "telephone_number": "480-854-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDSPA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-854-8000"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Joseph Vital, D.M.D.
• Vital4Men, PLLC
• Vitalis Family Health PLLC
• Vitalis Wellness Center of Phoenix, Az PC (Vitalis Wellness Center, AZ PC)
• Vitality Med Spa
• Armando Viterk
• Vito Anesthesia LLC
• Kanti Sri Vittala, MD
• Vivify Wellness LLC
• Kathleen Vize, OD

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.