Active NPI
Vital Rd LLC
- Family Nurse Practitioner
- Centennial, CO
National Provider Identifier
1326620758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITAL RD LLC
- Practice address
- 7564 S Xenia CT
Centennial, CO 80112-2730 - Phone
- (303) 562-4500
- NPI assigned
- Apr 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Crandall, RD
- Title
- Owner
- Phone
- (303) 562-4500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
7564 S Xenia CT
Centennial, CO 80112-2730
Mailing address
7564 S Xenia CT
Centennial, CO 80112-2730
Phone (303) 562-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Centennial, CO
- NPI 1760447650
-
- Family Nurse Practitioner
- Lone Tree, CO
- NPI 1548447295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1326620758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7564 S XENIA CT",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122730",
"telephone_number": "303-562-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7564 S XENIA CT",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122730",
"telephone_number": "303-562-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL RD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "CRANDALL",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-562-4500",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.