NPIMap

Organization Active NPI

Vitalcore Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Middletown, DE
National Provider Identifier
1538094172
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VITALCORE WELLNESS CLINIC LLC
Practice address
218 Eliason Dr
Middletown, DE 19709-3311
Phone
(610) 389-8697
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Miss Raquel Cassandra Reid, APRN
Title
Family Nurse Practitioner
Phone
(610) 389-8697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

218 Eliason Dr
Middletown, DE 19709-3311

Mailing address

218 Eliason Dr
Middletown, DE 19709-3311
Phone (610) 389-8697

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1538094172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ELIASON DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197093311",
            "telephone_number": "610-389-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ELIASON DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197093311",
            "telephone_number": "610-389-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCORE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "610-389-8697",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.