VITALITY HEALTH AND WELLNESS PLLC
NPI 1164742870
Nurse Practitioner - Adult Health in Greenville, NC
About Vitality Health And Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY HEALTH AND WELLNESS PLLC (NPI 1164742870) is a healthcare organization registered as an adult health in Greenville, North Carolina and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Shannon I Speece, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 34D2050169
Vitality Health & Wellness · Greenville, NCOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 And Wellness PLLC's NPI number?
The NPI number for Vitality Health And Wellness PLLC is 1164742870. It was assigned to this organization in the NPPES registry on June 3, 2010.
Where is Vitality Health And Wellness PLLC located?
Vitality Health And Wellness PLLC is located at 1429 E Fire Tower Rd Ste 104, Greenville, NC 27858. The listed phone number is (252) 364-2802.
What is Vitality Health And Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Does Vitality Health And Wellness PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2050169) is associated with this NPI, valid through November 19, 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 Health And Wellness PLLC was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Vitality Health And Wellness Pllc · NPI 1164742870
Adult Health organization in Greenville, North Carolina. Organization record, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1164742870 (Entity type: Organization)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Shannon Speece, OWNER
## Practice location
- **Address:** 1429 E FIRE TOWER RD, STE 104, Greenville, NC 27858-5730
- **Phone:** (252) 364-2802 · **Fax:** (252) 207-0709
## Record status
- **NPPES last updated:** September 2, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164742870) · Data from the CMS NPPES public registry.