MATTHEW VITACCA
NPI 1053289462
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since October 27, 2025
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 296-1100 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2026, Jan 21, 2026, Nov 17, 2025 and 1 more (4 updates tracked since 2025).

About Matthew Vitacca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW VITACCA (NPI 1053289462) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1053289462
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW VITACCA
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (501) 296-1100
Sole ProprietorNo
Enumeration DateOctober 27, 2025
Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
NPI 1053289462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST, Little Rock, AR 72205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Matthew Vitacca's NPI number?

The NPI number for Matthew Vitacca is 1053289462. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Matthew Vitacca located?

Matthew Vitacca practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 296-1100.

What is Matthew Vitacca's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Vitacca was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.