Organization Active NPI

Pura Vitality Wellness Center, PC

  • Family Nurse Practitioner
  • Attleboro, MA
National Provider Identifier
1326752924
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PURA VITALITY WELLNESS CENTER, PC
Practice address
550 N Main St Ste 5
Attleboro, MA 02703-1735
Phone
(508) 837-5623
Fax
(508) 455-1054
NPI assigned
Jan 9, 2023
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Darya P. Zakirov, NPNPI 1043718083
Title
NP
Phone
(508) 455-1018

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)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

550 N Main St Ste 5
Attleboro, MA 02703-1735

Mailing address

550 N Main St Ste 5
Attleboro, MA 02703-1735
Phone (508) 455-1018

Other identifiers 2

IdentifierTypeStateIssuer
RN2298940OtherMAMA LICENSE
RN2301955OtherMAMA LICENSE

Other names 1

  • Magnolia Aesthetics, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

550 N Main St
Ste 5
Attleboro, MA 02703
Phone (508) 837-5623

85 E Main St
Norton, MA 02766
Phone (508) 285-8550

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1326752924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 5",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-455-1018",
            "fax_number": "508-455-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 5",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031735",
            "telephone_number": "508-837-5623",
            "fax_number": "508-455-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VITALITY WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ZAKIROV",
        "authorized_official_first_name": "DARYA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "508-455-1018",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "RN2298940",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "RN2301955",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Aesthetics, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.