NPIMap

Organization Active NPI

Vitality Generation & Midwifery, LLC

  • Birthing Clinic/Center
  • Ogden, UT
National Provider Identifier
1750858403
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
VITALITY GENERATION & MIDWIFERY, LLC
Practice address
5319 S 500 E
Ste C
Ogden, UT 84405
Phone
(801) 917-6104
Fax
(801) 436-5182
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Mrs. Loretta S. Shupe, CPMNPI 1376079061
Title
Ceo
Phone
(801) 628-4573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

5319 S 500 E
Ste C
Ogden, UT 84405

Mailing address

431 E 2700 N
Ogden, UT 84414
Phone (801) 628-4573

Other names 1

  • My Family Birth Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2170617My Family Birth Center5319 S 500 E, Ste C, Ogden, UT 84405Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Locations

1660 W Antelope Dr
Ste 205
Layton, UT 84041
Phone (801) 917-6104

Practitioners & affiliated clinicians

Practitioners 3

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": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1750858403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E 2700 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84414",
            "telephone_number": "801-628-4573",
            "fax_number": "801-436-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S 500 E",
            "address_2": "STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-917-6104",
            "fax_number": "801-436-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY GENERATION & MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "SHUPE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-628-4573",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Family Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.