VITAL WELLNESS CLINIC LLC
NPI 1013528017
Nurse Practitioner - Family in Marion, AR
About Vital Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL WELLNESS CLINIC LLC (NPI 1013528017) is a healthcare organization registered as a family in Marion, Arkansas and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Kristy Anne Whited, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2194476
Vital Wellness Clinic · Marion, AROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARION, AR 72364
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vital Wellness Clinic LLC's NPI number?
The NPI number for Vital Wellness Clinic LLC is 1013528017. It was assigned to this organization in the NPPES registry on August 12, 2020.
Where is Vital Wellness Clinic LLC located?
Vital Wellness Clinic LLC is located at 4001 Commercial Center Dr Ste 1, Marion, AR 72364. The listed phone number is (870) 636-9218.
What is Vital Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Vital Wellness Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2194476) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vital Wellness Clinic LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Vital Wellness Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vital Wellness Clinic LLC was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vital Wellness Clinic Llc · NPI 1013528017
Family organization in Marion, Arkansas. Organization record, active in the CMS NPPES registry since August 12, 2020.
## Identity
- **NPI:** 1013528017 (Entity type: Organization)
- **Enumerated:** August 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kristy Whited, CO-OWNER
## Practice location
- **Address:** 4001 COMMERCIAL CENTER DR STE 1, Marion, AR 72364-9616
- **Phone:** (870) 636-9218
## Record status
- **NPPES last updated:** December 16, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013528017) · Data from the CMS NPPES public registry.