Vitality Medical and Wellness Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN37436 Issued in NV

Legal business name

VITALITY MEDICAL AND WELLNESS CENTER

Practice address

5765 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5625

Phone

(702) 731-1200

Fax

(702) 736-6302

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Cristy M Thomas, DNPNPI 1427087758

Title

Provider/Owner

Phone

(702) 731-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristy Marie Thomas, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1427087758
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1629486113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5765 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485625",
            "telephone_number": "702-731-1200",
            "fax_number": "702-736-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485625",
            "telephone_number": "702-731-1200",
            "fax_number": "702-736-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "702-731-1200",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "RN37436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Reyes Vital
• Kahleen Anne Vinas Vital
• Mariafe Manalang Vital, APRN, FNP-C
• Vitalis Wound Care LLC
• Vitality M12 LLC
• Vitality Medical Center
• Vitality Unlimited
• Vitalmind Health Services LLC
• Vitalmind Medical Center LLC
• Vitalrise Behavioral Health, PLLC

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.

Verify at the official NPI Registry.