Vitality Holistic Medicine LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

VITALITY HOLISTIC MEDICINE LLC

Practice address

8131 Wornall Rd
Kansas City, MO 64114-5815

Phone

(917) 855-1579

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Janet Lynne Lee, DACM, LAC

Title

Owner, Acupuncturist

Phone

(917) 855-1579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1922695220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W 77TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084348",
            "telephone_number": "917-855-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145815",
            "telephone_number": "917-855-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HOLISTIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "917-855-1579",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.