Vita Family Practice PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITA FAMILY PRACTICE PLLC

Practice address

609 Executive PL Ste B
Fayetteville, NC 28305-5713

Phone

(910) 489-3185

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer I Sturcken, PA-CNPI 1407887219

Title

Owner

Phone

(910) 677-9488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFABD

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.

• Jennifer Irene Sturcken, PA-C

  • Medical Physician Assistant
  • Fayetteville, NC
  • NPI 1407887219
  Medicare reassignment Authorized official
• Rebecca A Calhoun, M.D.

  • Emergency Medicine Physician
  • Fort Bragg, NC
  • NPI 1235247321
  Medicare reassignment NPD

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1770004723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 EXECUTIVE PL STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055713",
            "telephone_number": "910-677-9488",
            "fax_number": "866-694-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 EXECUTIVE PL STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055713",
            "telephone_number": "910-489-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "STURCKEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-677-9488",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sathyamurthy Viswanath, MD
• Vita Medical Care Clinic, PLLC
• Vitalbridge
• Melissa Vlad, OTR/L
• VMS Home Oxygen
• VMS Home Oxygen, Inc.

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.