Active NPI
Vital Health and Wellness
- Family Medicine Physician
- Montgomery, AL
National Provider Identifier
1457139016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VITAL HEALTH AND WELLNESS
- Practice address
- Vital Health and Wellness
2100 Chestnut Street
Montgomery, AL 36106 - Phone
- (334) 264-3434
- Fax
- (334) 834-9071
- NPI assigned
- Sep 15, 2023
- Last updated
- Sep 15, 2023
- 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
- Regan Owens, CRNP
- Title
- Owner
- Phone
- (334) 264-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
Vital Health and Wellness
2100 Chestnut Street
Montgomery, AL 36106
Mailing address
Vital Health and Wellness
2100 Chestnut Street
Montgomery, AL 36106
Phone (334) 264-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Nurse Practitioner
- Montgomery, AL
- NPI 1659077709
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1205182508
-
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1043742489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1457139016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VITAL HEALTH AND WELLNESS",
"address_2": "2100 CHESTNUT STREET",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36106",
"telephone_number": "334-264-3434",
"fax_number": "334-834-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VITAL HEALTH AND WELLNESS",
"address_2": "2100 CHESTNUT STREET",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36106",
"telephone_number": "334-264-3434",
"fax_number": "334-834-9071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "REGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-264-3434",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Latoyia Vines, RN
- Nicholas Pernell Vines Sr.
- Vinet Health Services LLC (360 Psych)
- Vinet Health Services LLC (360 Psych of Central Alabama)
- Keely Nacole Vinson, D.C.
- Vitality Clinical Associates LLC (Flare MD)
- Adam Patrick Vogt, M.D.
- William Jared Von Taaffe, MD
- Rachel Vought, CRNP
- Joanna Vrotsos, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.