Organization Active NPI

Vitality Weight and Hormone Solutions LLC

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1790476919
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VITALITY WEIGHT AND HORMONE SOLUTIONS LLC
Practice address
203 Broad Street
Suite C3
Milford, CT 06460
Phone
(203) 871-1953
Fax
(475) 275-7232
NPI assigned
May 18, 2023
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Lesley Nicole Charles, APRNNPI 1376940635
Title
Founder/Owner
Phone
(203) 871-1953

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

203 Broad Street
Suite C3
Milford, CT 06460

Mailing address

203 Broad Street
Suite C3
Milford, CT 06460
Phone (203) 871-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000558 CT Part B Supplier - Clinic/Group Practice 4284081340 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, CT

National Provider Directory

National Provider Directory

Locations

6 Woodland Rd
Unit 3B
Madison, CT 06443
Phone (203) 350-9649

203 Broad St
Unit C-3
Milford, CT 06460
Phone (203) 871-1953

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1790476919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROAD STREET",
            "address_2": "SUITE C3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-871-1953",
            "fax_number": "475-275-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROAD STREET",
            "address_2": "SUITE C3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-871-1953",
            "fax_number": "475-275-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY WEIGHT AND HORMONE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "203-871-1953",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.