Vitality Functional Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITALITY FUNCTIONAL FAMILY MEDICINE

Practice address

2514 E 15TH St Ste a
Tulsa, OK 74104-4655

Phone

(918) 237-9889

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Smith

Title

Co Owner

Phone

(918) 237-9889

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": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1902613813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 E 15TH ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 E 15TH ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044655",
            "telephone_number": "918-237-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY FUNCTIONAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "918-237-9889"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Viso, PHARMD
• Vista Eyecare
• Vista Wound Specialists LLC
• Vitacare, LLC (AeroCare)
• Vitalcaring Group Home Health - Tulsa, LLC
• Vitality Therapy and Performance, LLC
• Vitalsound L. L. C.
• Andrea Vitta
• Angela Vivar, MHPP
• Kerri-Anne E Vlaming, MD

• Primary Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

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