Vital Health Alliance Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITAL HEALTH ALLIANCE GROUP

Practice address

2104 S Main St
Grove, OK 74344-5356

Phone

(918) 999-9339

Fax

(918) 238-9990

NPI assigned

Jan 15, 2026

Organization subpart

Yes

Parent organization

VITAL HEALTH ALLIANCE GROUPAs reported in NPPES

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

Authorized official

Name

Mrs. Serena Brooke Wilson, APRNNPI 1881946259

Title

Owner

Phone

(918) 961-1658

Specialties & licenses 1

Addresses

Tax ID family

Vital Health Alliance Group2 organizations share this tax ID, including this one

Part of

Vital Health Alliance Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital Health Alliance Group

  • Primary Care Clinic/Center
  • Miami, OK
  • NPI 1346081304
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vital Health Alliance Group

  • Primary Care Clinic/Center
  • Miami, OK
  • NPI 1346081304
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serena Brooke Wilson, ARNP

  • Family Nurse Practitioner
  • Miami, OK
  • NPI 1881946259
  NPD Authorized official

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1902764053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 A ST NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743544605",
            "telephone_number": "918-999-9339",
            "fax_number": "918-238-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445356",
            "telephone_number": "918-999-9339",
            "fax_number": "918-238-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH ALLIANCE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAL HEALTH ALLIANCE GROUP",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-961-1658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison C Tuttle, PA-C
• Marcia D. Tynon, L.D.
• Urgent Care of Grand Lake PLLC
• Raegan Vaughan, DDS
• Sara Margaret Vaughan, PA-C
• Terri L Wadley, DPH
• Lindsey Waggoner
• Wal-Mart Stores East LP
• Walgreen Co
• James Walls

• Family Medicine Physician in Grove, OK
• Providers in Grove, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.