KSKM Health and Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KSKM HEALTH AND WELLNESS

Doing business as

Vital Health and Wellness

Practice address

106 E. Davis Street
Catlin, IL 61817

Phone

(217) 703-1444

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 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

Mrs. Jessica Gay, FNP-BC, FPANPI 1003370743

Title

Owner/Ceo

Phone

(217) 703-1444

Specialties & licenses 1

Addresses

Other names 1

• Vital Health and Wellness Doing business as

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.

• Jessica Scot Gay, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Danville, IL
  • NPI 1003370743
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1952152043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "CATLIN",
            "state": "IL",
            "postal_code": "618170080",
            "telephone_number": "217-703-1444",
            "fax_number": "217-703-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E. DAVIS STREET",
            "city": "CATLIN",
            "state": "IL",
            "postal_code": "61817",
            "telephone_number": "217-703-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSKM HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "217-703-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC, FPA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catlin Cusd 5
• Baily Fathauer
• Vernest L Jacobs
• Troy James Maskel, RN
• Vickie McCarty, LPC
• Catherine L McClain
• Jessica McGee, FNP
• Chelsea Roberts, APRN

• Nurse Practitioner in Catlin, IL
• Providers in Catlin, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.