Active NPI
High Vitality LLC
- Clinic/Center
- Flint, MI
National Provider Identifier
1861951329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HIGH VITALITY LLC
- Doing business as
- High vitality LLC
- Practice address
- 2512 S Dye Rd
Flint, MI 48532-4153 - Phone
- (810) 931-7394
- NPI assigned
- Mar 14, 2019
- Last updated
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamie Grace Phillips, DC
- Title
- President
- Phone
- (810) 931-7392
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2512 S Dye Rd
Flint, MI 48532-4153
Mailing address
10084 Shadybrook LN
Grand Blanc, MI 48439-8317
Phone (810) 931-7394
Other names 1
- High vitality LLC
National Provider Directory
National Provider DirectoryLocations
2512 S Dye Rd
Flint, MI 48532
Phone (810) 931-7394
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.
-
- Chiropractor
- Fenton, MI
- NPI 1821114893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1861951329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10084 SHADYBROOK LN",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398317",
"telephone_number": "810-931-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 S DYE RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485324153",
"telephone_number": "810-931-7394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH VITALITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-931-7392",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "High vitality LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.