Si Vitality Wellness Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SI VITALITY WELLNESS CENTER

Practice address

209 W Commercial Dr Ste E
Carterville, IL 62918-2057

Phone

(618) 684-7087

Fax

(618) 822-4045

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Christopher, APRNNPI 1457745358

Title

Aprn, Founder

Phone

(618) 684-7087

Specialties & licenses 1

Addresses

Locations

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.

• Samantha Jo Christopher, APN

  • Nurse Practitioner
  • Herrin, IL
  • NPI 1457745358
  NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1497559116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W COMMERCIAL DR STE E",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182057",
            "telephone_number": "618-684-7087",
            "fax_number": "618-822-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W COMMERCIAL DR STE E",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182057",
            "telephone_number": "618-684-7087",
            "fax_number": "618-822-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI VITALITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "APRN, FOUNDER",
        "authorized_official_telephone_number": "618-684-7087",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnee Health Service and Development Corp
• Shawnee Health Service and Development Corp (Shawnee Health Service and Development Corp IHH)
• Shawnee Health Service and Development Corp (Shawnee Health Care, Carterville)
• Kristi Ann Sheff
• Si Vitality Specialty Clinic LLC
• Christina Sigler, BS
• Siloam LLC (Southern Illinois Cancer Center)
• Brent Simpson
• Preston Simpson, MSW,LCSW
• Solutions Counseling & Education Inc

• Multi-Specialty Clinic/Center in Carterville, IL
• Providers in Carterville, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.