Active NPI
Vitalpath Health
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1750104865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITALPATH HEALTH
- Practice address
- 711 Colonial Dr
Baton Rouge, LA 70806-6549 - Phone
- (267) 275-6490
- Fax
- (215) 273-5975
- NPI assigned
- Nov 6, 2024
- 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
- Mr. Norman Tilson Jr.
- Title
- Corp Sr Director Business Ops
- Phone
- (267) 275-6490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
711 Colonial Dr
Baton Rouge, LA 70806-6549
Mailing address
620 Germantown Pike
Attn: Business Operations
Lafayette Hill, PA 19444-1810
Phone (267) 275-6490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1164791802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1750104865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GERMANTOWN PIKE",
"address_2": "ATTN: BUSINESS OPERATIONS",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441810",
"telephone_number": "267-275-6490",
"fax_number": "215-273-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 COLONIAL DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066549",
"telephone_number": "267-275-6490",
"fax_number": "215-273-5975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALPATH HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "TILSON",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "CORP SR DIRECTOR BUSINESS OPS",
"authorized_official_telephone_number": "267-275-6490",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Vital Hospice, Inc.
- Vital Rides LLC
- Vital Transitions Behavioral Healthcare Inc.
- Vital Transitions Behavioral Healthcare Inc.
- Vital Transitions Behavioral Healthcare Inc.
- Craig Anthony Vitrano, MD
- Lisa Vitrano, FNP
- Vitreoretinal Institute, a Medical Corporation
- Vivian
- Elizabeth Walters Vivian, M.A., LPC, PMH-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.