Active NPI
My Vital View, LLC
- Durable Medical Equipment & Medical Supplies
- Indian Harbour Beach, FL
National Provider Identifier
1427657626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2020
- 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
- Kelly Walker Beirne, CRNA
- Title
- Owner, Administrator
- Phone
- (321) 765-6317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10061630 | Other | FL | FDA LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- My Vital View LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Indian Harbour Beach, FL
- NPI 1528602794
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.
-
- Neuroradiology Physician
- Indian Harbour Beach, FL
- NPI 1598953564
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.