Active NPI
Vital Roots Wellness LLC
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1538032131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITAL ROOTS WELLNESS LLC
- Practice address
- 14450 Eagle Run Dr Ste 270
Omaha, NE 68116-1493 - Phone
- (402) 396-2935
- Fax
- (402) 396-2935
- NPI assigned
- Sep 29, 2025
- 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
- Robyn Anne Rafter
- Title
- Medical Director
- Phone
- (402) 396-2935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14450 Eagle Run Dr Ste 270
Omaha, NE 68116-1493
Mailing address
14450 Eagle Run Dr Ste 270
Omaha, NE 68116-1493
Phone (402) 396-2935
Other names 1
- ELEMENT WELLNESS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14450 Eagle Run Dr
Ste 270
Omaha, NE 68116
Phone (402) 396-2935
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Omaha, NE
- NPI 1992365001
-
- Family Nurse Practitioner
- Omaha, NE
- NPI 1609685502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1538032131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14450 EAGLE RUN DR STE 270",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161493",
"telephone_number": "402-396-2935",
"fax_number": "402-396-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14450 EAGLE RUN DR STE 270",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161493",
"telephone_number": "402-396-2935",
"fax_number": "402-396-2935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL ROOTS WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "RAFTER",
"authorized_official_first_name": "ROBYN",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "402-396-2935"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELEMENT WELLNESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.