VITALITY SLIM CLINIC LLC
NPI 1144065491
Nurse Practitioner in Scottsdale, AZ

Q: What is Vitality Slim Clinic Limited Liability Company's specialty?

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

Active since June 27, 2024CLIA 03D2310949 · Waiver

10229 N SCOTTSDALE RD STE B, SCOTTSDALE, AZ 85253(855) 475-4636 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Jun 27, 2024 (2 updates tracked since 2024).

On this page

About Vitality Slim Clinic Llc NPPES

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

VITALITY SLIM CLINIC LLC (NPI 1144065491) is a healthcare organization registered as a nurse practitioner in Scottsdale, Arizona and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Fred Auzenne, Manager, as its authorized official.

NPPES Registry Identity

NPI1144065491

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameVITALITY SLIM CLINIC LIMITED LIABILITY COMPANY

Location Address10229 N SCOTTSDALE RD STE BScottsdale, AZ 85253-1437

Mailing Address10115 E Bell Rd Ste 107, #504Scottsdale, AZ 85260-2189 · (855) 475-4636

Phone(855) 475-4636

Organization SubpartNo

Authorized OfficialFred AuzenneManager · (480) 544-4467

Enumeration DateJune 27, 2024

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1144065491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

10229 N SCOTTSDALE RD STE B, Scottsdale, AZ 85253

Open in Google Maps ↗

Other Names 1

Doing Business AsVitality Slim Clinic Llc

Group Practice 1

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

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 03D2310949

Vitality Slim Clinic · Paradise Valley, AZ

Active · expires Sep 12, 2026

CLIA Number03D2310949

Laboratory TypePhysician Office

Certificate Effective DateSeptember 13, 2024

Certificate Expiration DateSeptember 12, 2026

Laboratory DirectorDana L. Cook

Laboratory Phone(480) 853-5533

Laboratory LocationVitality Slim Clinic10229 N Scottsdale Rd Amici Ste B, Paradise Valley, AZ 85253

CLIA data matches this NPI record on: Name

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

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 Slim Clinic Limited Liability Company's NPI number?

The NPI number for Vitality Slim Clinic Limited Liability Company is 1144065491. It was assigned to this organization in the NPPES registry on June 27, 2024. The provider is doing business as Vitality Slim Clinic LLC.

Where is Vitality Slim Clinic Limited Liability Company located?

Vitality Slim Clinic Limited Liability Company is located at 10229 N Scottsdale Rd Ste B, Scottsdale, AZ 85253. The listed phone number is (855) 475-4636.

What is Vitality Slim Clinic Limited Liability Company's specialty?

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

Does Vitality Slim Clinic Limited Liability Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2310949) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Slim Clinic Limited Liability Company was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.