Vital Health Concierge LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITAL HEALTH CONCIERGE LLC

Practice address

325 S Parsons Ave
Brandon, FL 33511-5228

Phone

(813) 397-6779

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Jenna Madhavan, APRNNPI 1184127888

Title

Co-Owner/Aprn

Phone

(813) 545-0133

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Jenna Madhavan, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1184127888
  Medicare reassignment NPD Authorized official
• Domonique Vickers

  • Family Nurse Practitioner
  • Ruskin, FL
  • NPI 1306419098
  Medicare reassignment NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1669245064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 FIRE ROCK PL",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335730196",
            "telephone_number": "813-545-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115228",
            "telephone_number": "813-397-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH CONCIERGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MADHAVAN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CO-OWNER/APRN",
        "authorized_official_telephone_number": "813-545-0133",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pylynn Virankabutra, LMHC
• Virtual Speech Academy
• Visionworks Inc (Visionworks)
• Visionworks, Inc. (Visionworks)
• Vita Serenity Counseling LLC
• Vital Health Mobility Services LLC
• Vital Impact Healthcare, LLC
• Laura Ann Vizzari, O.D.
• Vladimir a. Avril, PLLC (Brandon Smile Center)
• Emily Rebecca Vlasik, MD

• Primary Care Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.