NPIMap

Organization Active NPI

Total Vitality Health Care LLC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1821252982
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5548 Issued in FL
Legal business name
TOTAL VITALITY HEALTH CARE LLC
Practice address
2717 Santa Barbara Blvd
#8
Cape Coral, FL 33914-4432
Phone
(239) 458-5747
Fax
(239) 772-8747
NPI assigned
Jul 17, 2008
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Kristine Kay Johnson, DCNPI 1376732834
Title
Manager
Phone
(239) 458-5747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5548 FL Primary

Addresses

Primary practice location

2717 Santa Barbara Blvd
#8
Cape Coral, FL 33914-4432

Mailing address

2717 Santa Barbara Blvd
# 8
Cape Coral, FL 33914-4432
Phone (239) 458-5747

Other identifiers 2

IdentifierTypeStateIssuer
BA793OtherFLMEDICARE PTAN
CH5548OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

2717 Santa Barbara Blvd
#8
Cape Coral, FL 33914
Phone (239) 458-5747

2717 Santa Barbara Blvd
Unit 7
Cape Coral, FL 33914
Phone (239) 458-5747

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1821252982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SANTA BARBARA BLVD",
            "address_2": "# 8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144432",
            "telephone_number": "239-458-5747",
            "fax_number": "239-772-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 SANTA BARBARA BLVD",
            "address_2": "#8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144432",
            "telephone_number": "239-458-5747",
            "fax_number": "239-772-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VITALITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-458-5747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA793",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH5548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.