Vitality Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VITALITY MEDICAL, LLC

Practice address

2060 Overland Ave Ste 1a
Billings, MT 59102-6439

Phone

(406) 855-2422

Fax

(406) 204-5595

NPI assigned

Jan 29, 2021

Last updated

Jul 24, 2024By 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

Melissa Lynn Fuller, DNPNPI 1831329804

Title

Owner

Phone

(406) 671-0184

Specialties & licenses 1

Addresses

Other names 1

• Vitality Medical Former legal business name

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Melissa Lynn Fuller, DNP

  • Nurse Practitioner
  • Billings, MT
  • NPI 1831329804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1942891205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OVERLAND AVE STE 1A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026439",
            "telephone_number": "406-855-2422",
            "fax_number": "406-702-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OVERLAND AVE STE 1A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026439",
            "telephone_number": "406-855-2422",
            "fax_number": "406-204-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-671-0184",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitality Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virtual Floss Teledentistry
• Visual Edge, Inc (Pearle Vision)
• Vitae Health Medical Montana PLLC
• Vitality a Professional Corporation
• Vitality Counseling, LLC
• Kristen Jean Vitousek, CRNA
• Dwayne G Vogel, DC
• Jeremy Vogel, RN
• Laurie Jean Vogele
• Katie Marie Vogl, LAC

• General Practice Physician in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.