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
- 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
- Code Navigator
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.
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
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.