VITAL LIFE BRANDS
NPI 1134941925
Dietitian, Registered - Nutrition, Obesity and Weight Management in South Salt Lake, UT

NPI Status: Active since October 31, 2024

Contact Information

3355 S STATE ST
SOUTH SALT LAKE, UT
ZIP 84115
Phone: (801) 335-5843
Fax: (801) 335-5843

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  • Organization
  • Dietitian, Registered
  • Nutrition, Obesity and Weight Management
  • CLIA Number: 46D2323565
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-07-2027

About VITAL LIFE BRANDS

This page provides the complete NPI Profile along with additional information for Vital Life Brands, a provider established in South Salt Lake, Utah operating as a Dietitian, Registered, focusing in nutrition, obesity and weight management . The healthcare provider is registered in the NPI registry with number 1134941925 assigned on October 2024. The practitioner's primary taxonomy code is 133VN1201X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Debenham Owner (Managing Member)

NPI
1134941925
Provider Name
VITAL LIFE BRANDS
Entity Type
Organization
Location Address
3355 S STATE ST SOUTH SALT LAKE, UT 84115
Location Phone
(801) 335-5843
Location Fax
(801) 335-5843
Mailing Address
3355 S STATE ST SOUTH SALT LAKE, UT 84115
Mailing Phone
(801) 335-5843
Mailing Fax
(801) 335-5843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2024
Last Update Date
10-31-2024
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Location Map

Secondary Locations

  • 2435 W 450 S Ste 102
    Pleasant Grove, UT 84062
    (801) 396-0924

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Obesity and Weight Management

Taxonomy Code
133VN1201X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL DEBENHAM OWNER

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(801) 703-5885

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2323565
Facility Type
Practitioner Other
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
JENNIFER MAKUAKANE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Vital Life Brands after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134941925, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 8 + 4 + 2 + 9 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1134941925.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134941925, enumerated as an "organization" on October 31, 2024.

The provider is located at 3355 S STATE ST SOUTH SALT LAKE, UT 84115 and the phone number is (801) 335-5843.

Dietitian, Registered with taxonomy code 133VN1201X and a focus in Nutrition, Obesity and Weight Management.