Organization Active NPI

My Vital View, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Harbour Beach, FL
National Provider Identifier
1427657626
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY VITAL VIEW, LLC
Practice address
2194 Highway A1A Ste 107
Indian Harbour Beach, FL 32937-4955
Phone
(321) 765-6317
Fax
(321) 600-4004
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Kelly Walker Beirne, CRNA
Title
Owner, Administrator
Phone
(321) 765-6317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2194 Highway A1A Ste 107
Indian Harbour Beach, FL 32937-4955

Mailing address

2194 Highway A1A Ste 107
Indian Harbour Beach, FL 32937-4955
Phone (321) 765-6317

Other identifiers 1

IdentifierTypeStateIssuer
10061630OtherFLFDA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
My Vital View LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1427657626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 107",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374955",
            "telephone_number": "321-765-6317",
            "fax_number": "321-600-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 107",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374955",
            "telephone_number": "321-765-6317",
            "fax_number": "321-600-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VITAL VIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER BEIRNE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "321-765-6317",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA LICENSE",
            "identifier": "10061630",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.