Active NPI
Vital Edge Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Draper, UT
National Provider Identifier
1417869314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VITAL EDGE MEDICAL, INC.
- Practice address
- 11694 S Fox Vista Dr
Draper, UT 84020-1460 - Phone
- (801) 897-3020
- Fax
- (385) 324-6610
- NPI assigned
- Sep 17, 2026
- 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
- Lana Atwood
- Title
- Owner
- Phone
- (801) 897-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11694 S Fox Vista Dr
Draper, UT 84020-1460
Mailing address
11694 S Fox Vista Dr
Draper, UT 84020-1460
Phone (801) 897-3020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1417869314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11694 S FOX VISTA DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840201460",
"telephone_number": "801-897-3020",
"fax_number": "385-324-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11694 S FOX VISTA DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840201460",
"telephone_number": "801-897-3020",
"fax_number": "385-324-6610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL EDGE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "ATWOOD",
"authorized_official_first_name": "LANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-897-3020"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.