Organization Active NPI

Vitality Aesthetics

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1376221622
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITALITY AESTHETICS
Practice address
3810 Central Ave Ste D
Hot Springs, AR 71913-6921
Phone
(501) 353-5613
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Mrs. Tiffany McConathy, APRNNPI 1164958013
Title
Co-Owner
Phone
(501) 627-5788

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
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3810 Central Ave Ste D
Hot Springs, AR 71913-6921

Mailing address

118 Tatum St
Hot Springs, AR 71901-9361

Other practice location 1

2728 Malvern Ave
Hot Springs, AR 71901-8110
Phone (501) 627-5788

Other practice location 2

118 Tatum St
Hot Springs, AR 71901-9361
Phone (501) 353-5613

National Provider Directory

National Provider Directory

Locations

3810 Central Ave
Ste D
Hot Springs, AR 71913
Phone (501) 353-5613

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1376221622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TATUM ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719019361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL AVE STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136921",
            "telephone_number": "501-353-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2728 Malvern Ave",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719018110",
            "country_code": "US",
            "telephone_number": "501-627-5788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Tatum St",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719019361",
            "country_code": "US",
            "telephone_number": "501-353-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MCCONATHY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-627-5788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.