Vitalbridge Health PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VITALBRIDGE HEALTH PLLC

Practice address

1325 S Congress Ave Ste 109
Boynton Beach, FL 33426-5802

Phone

(561) 823-1020

Fax

(561) 708-4003

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Jay Kyle Ober, PHD, APRN

Title

Provider / Owner

Phone

(561) 823-1020

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1841913357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE STE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-823-1020",
            "fax_number": "561-708-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE STE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-823-1020",
            "fax_number": "561-708-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALBRIDGE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "OBER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "561-823-1020",
        "authorized_official_credential": "PHD, APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.