Vitality Medical Solutions LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

VITALITY MEDICAL SOLUTIONS LLC

Practice address

2241 Farnum St Ste 105
Casper, WY 82609-4108

Phone

(307) 689-1831

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Lillian D Cannon, PANPI 1174875991

Title

Medical Director

Phone

(307) 689-1831

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lillian Deann Cannon, PA

  • Physician Assistant
  • Casper, WY
  • NPI 1174875991
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1336976281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST STE 105",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094108",
            "telephone_number": "307-689-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST STE 105",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094108",
            "telephone_number": "307-689-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "307-689-1831",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Vincent, RN
• Robert Lane Vineyard, RN
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• Robert Johnston Vogel, PA-C
• Jeremiah Robert Volk, LCSW-691
• Trenton Vonburg
• Vop Garden Square of Casper, LLC
• Sara Elizabeth Vrbas

• Physician Assistant in Casper, WY
• Providers in Casper, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.