Vitalize Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALIZE HEALTH LLC

Practice address

2200 S 40TH St Ste 102
Lincoln, NE 68506-2424

Phone

(402) 413-0717

Fax

(402) 951-9763

NPI assigned

Apr 18, 2019

Last updated

Apr 19, 2024By 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

James T Stewart

Title

Manager

Phone

(402) 239-2005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20975/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Shawna Marie Garito, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1386274520
  Medicare reassignment Care Compare group NPD
• Jessica A Hines, APRN, NP-C

  • Family Nurse Practitioner
  • Grand Island, NE
  • NPI 1568863413
  Medicare reassignment Care Compare group NPD
• Raime L Misko, APRN

  • Family Nurse Practitioner
  • Lexington, NE
  • NPI 1194276782
  Medicare reassignment Care Compare group NPD
• Jacqueline Anne Stewart, APRN

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1881827129
  Medicare reassignment Care Compare group NPD
• Sarah Hehn, APRN, FNP-C

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1639634538
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1710540307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S 40TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062424",
            "telephone_number": "402-239-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S 40TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062424",
            "telephone_number": "402-413-0717",
            "fax_number": "402-951-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-239-2005"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vital Services Inc.
• Vitality Dental Health
• Bethany D Vitko, OT
• Taylor Kathleen Vitosh, PA
• Will Reid Vitosh
• Natalie Vizinskay
• Nora Ivanova Vladimirova

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.