Vital Healing Functional Medicine, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VITAL HEALING FUNCTIONAL MEDICINE, LLC

Practice address

1760 Centre St Ste B
Rapid City, SD 57703-4035

Phone

(605) 872-0404

Fax

(605) 472-7304

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Olivia Gorans, CNPNPI 1083900310

Title

Sole Member

Phone

(605) 472-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Olivia Gorans, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
  • NPI 1083900310
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1992458285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CENTRE ST STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034035",
            "telephone_number": "605-872-0404",
            "fax_number": "605-472-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTRE ST STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034035",
            "telephone_number": "605-872-0404",
            "fax_number": "605-472-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALING FUNCTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "GORANS",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "605-472-0404",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Source Rapid City
• Vision Source Specialists, Prof. L.L.C.
• Vision Therapy Center LLC
• Vision West Eye Care PLLC
• Vision-N-Motion Occupational Therapy, LLC
• Vital Life Chiropractic
• Vitality Chiropractic of the Black Hills, P.C.
• David Voeller, CRNA
• Diantha Allene Voge, LMFT
• Abigail Nicole Vogel, CNP

• Health Service Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Health Service Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.