Organization Active NPI

Vital Edge Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1902723356
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VITAL EDGE WELLNESS LLC
Practice address
160 Santarem Cir
Punta Gorda, FL 33983-4222
Phone
(941) 451-7849
Fax
(941) 259-0721
NPI assigned
Jul 6, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Jason Ritenour, APRN
Title
Managing Member
Phone
(941) 451-7849

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

160 Santarem Cir
Punta Gorda, FL 33983-4222

Mailing address

160 Santarem Cir
Punta Gorda, FL 33983-4222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1902723356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SANTAREM CIR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339834222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SANTAREM CIR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339834222",
            "telephone_number": "941-451-7849",
            "fax_number": "941-259-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL EDGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "RITENOUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-451-7849",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.