VITALITY HEALTH CENTER LLC
NPI 1104483098
Nurse Practitioner in Wichita, KS

Q: What is Vitality Health Center LLC's NPI number?

The NPI number for Vitality Health Center LLC is 1104483098. It was assigned to this organization in the NPPES registry on May 25, 2019.

Q: What is Vitality Health Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 25, 2019CLIA 17D2146352 · Waiver

10111 E 21ST ST N STE 315, WICHITA, KS 67206(877) 393-2492(316) 680-9915 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 1, 2024, May 25, 2019 (2 updates tracked since 2019).

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About Vitality Health Center Llc NPPES

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

VITALITY HEALTH CENTER LLC (NPI 1104483098) is a healthcare organization registered as a nurse practitioner in Wichita, Kansas and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 27, 2028, maintains a secondary practice location in Wichita, and lists Sonia Slaba, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1104483098

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameVITALITY HEALTH CENTER LLC

Location Address10111 E 21ST ST N STE 315Wichita, KS 67206-3581

Mailing Address10111 E 21st St N Ste 315Wichita, KS 67206-3581 · (877) 393-2492 · Fax (316) 854-5194

Phone(877) 393-2492

Fax(316) 680-9915

Organization SubpartNo

Authorized OfficialSonia SlabaManaging Partner · (877) 393-2492

Enumeration DateMay 25, 2019

Last NPPES UpdateJanuary 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 6, 2023

✔ NPI 1104483098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

10111 E 21ST ST N STE 315, Wichita, KS 67206

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Secondary Practice Location 1

Location 110333 E 21st St N Ste 106Wichita, KS 67206-3544 · Phone (877) 393-2492 · Fax (316) 854-5194

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 17D2146352

Vitality Health Center, LLC · Wichita, KS

Active · expires Mar 27, 2028

CLIA Number17D2146352

Laboratory TypePractitioner Other

Certificate Effective DateMarch 28, 2026

Certificate Expiration DateMarch 27, 2028

Laboratory DirectorJason Burk

Laboratory Phone(316) 866-6744

Laboratory LocationVitality Health Center, LLC10111 E 21st N, Suite #315, Wichita, KS 67206

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PERFORMANCE HEALTH, PA

Clinic/Center (Primary Care)

10111 E 21ST ST N STE 315
WICHITA, KS 67206

Sedgwick County (316) 260-9005

HEALTH ATLAST WICHITA LLC

Family Medicine

10111 E 21ST ST N STE 315
WICHITA, KS 67206

Sedgwick County (316) 807-0835

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 Vitality Health Center LLC's NPI number?

The NPI number for Vitality Health Center LLC is 1104483098. It was assigned to this organization in the NPPES registry on May 25, 2019.

Where is Vitality Health Center LLC located?

Vitality Health Center LLC is located at 10111 E 21st St N Ste 315, Wichita, KS 67206. The listed phone number is (877) 393-2492.

What is Vitality Health Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Vitality Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2146352) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitality Health Center LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vitality Health Center 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 Vitality Health Center LLC was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.