Organization Active NPI

Vital for Life, Inc.

  • Primary Care Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1972813020
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VITAL FOR LIFE, INC.
Practice address
7351 West Oakland Park Blvd
Ste 101
Lauderhill, FL 33319-1041
Phone
(954) 748-9744
Fax
(954) 208-7416
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
April Rymer, APRNNPI 1023327236
Title
Clinical Director
Phone
(954) 748-9744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

7351 West Oakland Park Blvd
Ste 101
Lauderhill, FL 33319-1041

Mailing address

7351 West Oakland Park Blvd
Ste 101
Lauderhill, FL 33319-1041
Phone (954) 748-9744

Other practice location 1

7351 West Oakland Park Blvd
Ste 101
Lauderhill, FL 33319
Phone (954) 748-9744

Other identifiers 1

IdentifierTypeStateIssuer
6897304MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.vital4life.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2247477Vital for Life Inc7351 West Oakland Park Blvd Suite 101, Lauder Hill, FL 33319Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

7216 W Oakland Park Blvd
Lauderhill, FL 33313

7351 W Oakland Park Blvd
Ste 101
Tamarac, FL 33319
Phone (954) 748-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1972813020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 WEST OAKLAND PARK BLVD",
            "address_2": "STE 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333191041",
            "telephone_number": "954-748-9744",
            "fax_number": "954-208-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 WEST OAKLAND PARK BLVD",
            "address_2": "STE 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333191041",
            "telephone_number": "954-748-9744",
            "fax_number": "954-208-7416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7351 West Oakland Park Blvd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "33319",
            "country_code": "US",
            "telephone_number": "954-748-9744",
            "fax_number": "954-208-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL FOR LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "RYMER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-748-9744",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6897304",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vital4life.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "7351 West Oakland Park Blvd",
            "address_2": "Ste 101",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333191041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.