Vital NP - Integrative Medicine & Wellness Services, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITAL NP - INTEGRATIVE MEDICINE & WELLNESS SERVICES, LLC

Practice address

11 Newburg Ave Ste 3
Catonsville, MD 21228-5172

Phone

(443) 207-0733

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By 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

Theresa Victoria Proctor, DNP, FNP-CNPI 1447845888

Title

Dr/ Owner

Phone

(443) 207-0733

Specialties & licenses 1

Addresses

Locations

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.

• Theresa Victoria Proctor, DNP, FNP-C

  • Family Nurse Practitioner
  • Catonsville, MD
  • NPI 1447845888
  NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1912884834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 REGENT PARK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281805",
            "telephone_number": "443-207-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEWBURG AVE STE 3",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285172",
            "telephone_number": "443-207-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL NP - INTEGRATIVE MEDICINE & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DR/ OWNER",
        "authorized_official_telephone_number": "443-207-0733",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vim Chiropractic
• Pierce Vincent
• Kunwar Vir, D.M.D.
• Visionworks Inc (Visionworks)
• Visionworks, Inc. (Visionworks)
• Christina Vo
• David Von Rueden, M.D.
• Gopal Ramesh Vyas, D.O.
• Ritu Ramdeo Vyas, MD
• W Jackson Iliff M.D., LLC

• Primary Care Clinic/Center in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.