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COEUR VITALITY PLLC
NPI 1316574700
Clinic/Center in Coeur D Alene, ID

Active since March 25, 2020CLIA 13D2186543 · Microscopy
110 E WALLACE AVE, COEUR D ALENE, ID 83814(208) 651-9791 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2020, Mar 25, 2020 (2 updates tracked since 2020).

About Coeur Vitality Pllc NPPES

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

COEUR VITALITY PLLC (NPI 1316574700) is a healthcare organization registered as a clinic/center in Coeur D Alene, Idaho and active in the NPI registry since March 2020. The organization holds a CLIA Microscopy certificate valid through June 17, 2028 and lists Brittany Burns, Owner, as its authorized official.

NPPES Registry Identity

NPI1316574700
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOEUR VITALITY PLLC
Location Address110 E WALLACE AVECoeur D Alene, ID 83814-2948
Mailing Address110 E Wallace AveCoeur D Alene, ID 83814-2948 · (208) 651-9791
Phone(208) 651-9791
Organization SubpartNo
Authorized OfficialBrittany BurnsOwner · (208) 966-4512
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 17, 20202 updates tracked since enumeration
NPPES CertifiedAugust 17, 2020
✔ NPI 1316574700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

110 E WALLACE AVE, Coeur D Alene, ID 83814
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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 for Provider-Performed Microscopy Procedures (PPMP) 13D2186543

Coeur Vitality PLLC · Coeur D'alene, ID
Active · expires Jun 17, 2028
CLIA Number13D2186543
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorBrittany C. Burns
Laboratory Phone(208) 853-0707
Laboratory LocationCoeur Vitality PLLC110 E Wallace Ave, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI ANN GRAMBEAU APRN
Nurse Practitioner (Family)
110 E WALLACE AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 853-0707
SHARON L ANDERSON RD
Dietitian, Registered
110 E WALLACE AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 966-4512
DR. GEORGE CHRISTOPHER BELL MD
Internal Medicine
110 E WALLACE AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 966-4512
MUSCLE WORKS, PLLC
Chiropractor
110 E WALLACE AVE
COER D ALENE, ID 83814
Kootenai County (208) 660-2480
DR. BRITTANY CARLETON BURNS M.D.
Family Medicine
110 E WALLACE AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
COEUR THERAPEUTICS JJ
Clinic/Center (Pain)
110 E WALLACE AVE
COEUR D ALENE, ID 83814
Kootenai County (208) 450-5184

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 Coeur Vitality PLLC's NPI number?

The NPI number for Coeur Vitality PLLC is 1316574700. It was assigned to this organization in the NPPES registry on March 25, 2020.

Where is Coeur Vitality PLLC located?

Coeur Vitality PLLC is located at 110 E Wallace Ave, Coeur D Alene, ID 83814. The listed phone number is (208) 651-9791.

What is Coeur Vitality PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Coeur Vitality PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2186543) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coeur Vitality PLLC was last updated on August 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.