Active NPI
Base Vitality PLLC
- Primary Care Clinic/Center
- Kalispell, MT
National Provider Identifier
1922807304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BASE VITALITY PLLC
- Doing business as
- Base Vitality PLLC
- Practice address
- 103 Ponderosa LN
Kalispell, MT 59901-6833 - Phone
- (406) 220-5058
- NPI assigned
- Mar 10, 2025
- Last updated
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Emde, ND, DC
- Title
- Doctor
- Phone
- (406) 220-5058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
103 Ponderosa LN
Kalispell, MT 59901-6833
Mailing address
103 Ponderosa LN
Kalispell, MT 59901-6833
Phone (406) 220-5058
Other names 1
- Base Vitality PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Naturopath
- Kalispell, MT
- NPI 1124538962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1922807304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PONDEROSA LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016833",
"telephone_number": "406-220-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PONDEROSA LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016833",
"telephone_number": "406-220-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASE VITALITY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "EMDE",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "406-220-5058",
"authorized_official_credential": "ND, DC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Base Vitality PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.