VITAL RD LLC
NPI 1326620758
Nurse Practitioner - Family in Centennial, CO

Active since April 26, 2021
7564 S XENIA CT, CENTENNIAL, CO 80112(303) 562-4500 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, Apr 26, 2021 (2 updates tracked since 2021).

About Vital Rd Llc NPPES

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

VITAL RD LLC (NPI 1326620758) is a healthcare organization registered as a family in Centennial, Colorado and active in the NPI registry since April 2021. The organization lists Jessica Crandall, Owner, as its authorized official.

NPPES Registry Identity

NPI1326620758
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITAL RD LLC
Location Address7564 S XENIA CTCentennial, CO 80112-2730
Mailing Address7564 S Xenia CtCentennial, CO 80112-2730 · (303) 562-4500
Organization SubpartNo
Authorized OfficialJessica CrandallOwner · (303) 562-4500
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1326620758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
7564 S XENIA CT, Centennial, CO 80112

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Rd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Vital Rd LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Registered Dietitian or Nutrition Professional
NPI 1912778366
7564 S XENIA CT
Centennial, CO 80112
(303) 562-4500
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1760447650
7564 S XENIA CT
Centennial, CO 80112
(303) 562-4500
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1164166112
10072 OAK CIR
Westminster, CO 80021
(303) 847-8566
✔ Accepts Medicare24 mi
Registered Dietitian or Nutrition Professional
NPI 1649075532
1521 PINEWOOD CT
Longmont, CO 80504
(618) 975-8895
✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vital Rd LLC's NPI number?

The NPI number for Vital Rd LLC is 1326620758. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Vital Rd LLC located?

Vital Rd LLC is located at 7564 S Xenia Ct, Centennial, CO 80112. The listed phone number is (303) 562-4500.

What is Vital Rd LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vital Rd LLC enrolled in Medicare?

Yes. Vital Rd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Rd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Vital Rd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vital Rd LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.