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

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: July 19, 2026.

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

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
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

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

The NPI number assigned to this healthcare provider is 1144065491, enumerated as an "organization" on June 27, 2024.

The provider is located at 10229 N SCOTTSDALE RD STE B SCOTTSDALE, AZ 85253 and the phone number is (855) 475-4636.

Nurse Practitioner with taxonomy code 363L00000X.