Organization Active NPI

Vitalize Ambiance LLC

  • Specialist
  • Lake Worth, FL
National Provider Identifier
1982386579
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VITALIZE AMBIANCE LLC
Practice address
631 Lucerne Ave Ste Suite66
Lake Worth, FL 33460-3820
Phone
(561) 298-4985
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Kevina Satterfield, ITDS, CBDNPI 1215619101
Title
Owner/Manager
Phone
(561) 298-4985

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

631 Lucerne Ave Ste Suite66
Lake Worth, FL 33460-3820

Mailing address

631 Lucerne Ave Ste Suite66
Lake Worth, FL 33460-3820
Phone (561) 298-4985

Other names 1

  • SEEDLINGS OF LOVE Doing business as

National Provider Directory

National Provider Directory

Locations

631 Lucerne Ave
Ste 66
Lake Worth, FL 33460
Phone (561) 298-4985

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": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1982386579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LUCERNE AVE STE SUITE66",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603820",
            "telephone_number": "561-298-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 LUCERNE AVE STE SUITE66",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603820",
            "telephone_number": "561-298-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE AMBIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SATTERFIELD",
        "authorized_official_first_name": "KEVINA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-298-4985",
        "authorized_official_credential": "ITDS, CBD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEEDLINGS OF LOVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.