VITALITY CONSULTANTS LLC
Complete NPI Record 1497644124
Nurse Practitioner - Community Health in Charlotte, NC
Active since June 30, 2025
Complete NPI Dataset
This page contains the complete raw NPPES record for Vitality Consultants Llc (NPI 1497644124), a nurse practitioner organization in Charlotte, NC. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1497644124 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: VITALITY CONSULTANTS LLC Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 3540 TORINGDON WAY STE 200 Field 5/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CHARLOTTE Field 6/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 7/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 282774650 Field 8/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7632282704 Field 10/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 3540 TORINGDON WAY STE 200 Field 11/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CHARLOTTE Field 12/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC Field 13/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 282774650 Field 14/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8886689087 Field 16/31
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9498643645 Field 17/31
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: SIMS Field 20/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LEANN Field 21/31
- The first name of the authorized official.
- Authorized Official Title or Position: CEO Field 22/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7632282704 Field 23/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207PE0004X Field 24/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 363LC1500X Field 26/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 29/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 30/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 28
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
711 Fayetteville RD., Ste A #1007
Location 1/28Van Buren, AR 72956-3455 · Phone (888) 668-9087 · Fax (888) 668-9087
2730 S. Wadsworth Blvd., Ste A PMB 1048
Location 2/28Denver, CO 80227-3787 · Phone (888) 668-9087 · Fax (888) 668-8168
2626 S. Loop W., Ste 130 PMB 1051
Location 3/28Houston, TX 77054-2651 · Phone (888) 668-9087 · Fax (888) 668-8168
115 E Main St Ste A1B-1054
Location 4/28Buford, GA 30518-5727 · Phone (888) 668-9087 · Fax (888) 668-8168
1575 Westwood Blvd., Ste 302, PMB2117
Location 5/28Los Angeles, CA 90024-5625 · Phone (888) 668-9087 · Fax (888) 666-8168
1846 1st St # 1062
Location 6/28Idaho Falls, ID 83401-4415 · Phone (888) 668-9087 · Fax (888) 668-8168
11240 N. 19th Ave. PMB 1063, St 22
Location 7/28Phoenix, AZ 85029-4825 · Phone (888) 668-9087 · Fax (888) 668-8168
4171 Lomac St #1153, Ste F
Location 8/28Montgomery, AL 36106-2945 · Phone (888) 688-9087 · Fax (888) 668-8168
25 Maple St. #1021, Ste 200
Location 9/28Pawtucket, RI 02860-2104 · Phone (888) 668-9087 · Fax (888) 668-8168
325 Sentry Pkwy E Ste 301
Location 10/28Blue Bell, PA 19422-2312 · Phone (888) 668-9087 · Fax (888) 668-8168
223 N 3rd Ave # 1001
Location 11/28Durant, OK 74701-4309 · Phone (888) 668-9087 · Fax (888) 668-8168
5533 Southwyck Blvd., Ste 101, PMB 1028
Location 12/28Toledo, OH 43614-1505 · Phone (888) 668-9087 · Fax (888) 668-8168
447 Broadway, 2nd Floor, #1526
Location 13/28New York, NY 10013-2562 · Phone (888) 668-9087 · Fax (888) 668-8168
9550 S. Eastern Ave, Ste 253, PMB1008
Location 14/28Las Vegas, NV 89123-8042 · Phone (888) 668-9087 · Fax (888) 668-8168
11 Douglas Ave, PMB1119, Suite 253
Location 15/28Elgin, IL 60120-5590 · Phone (888) 668-9087 · Fax (888) 668-8168
985 Lake St E # 1015
Location 16/28Wayzata, MN 55391-1804 · Phone (888) 668-9087 · Fax (888) 668-8168
7310 Ritchie Highway, Suite 200 #1170
Location 17/28Glen Burnie, MD 21061-3129 · Phone (888) 668-9087 · Fax (888) 668-8168
5510 Cherokee Ave. Ste 300 #1358
Location 18/28Alexandria, VA 22312-2320 · Phone (888) 668-9087 · Fax (888) 668-8168
1240B E Stringham Ave # 1036
Location 19/28Salt Lake City, UT 84106-2490 · Phone (888) 668-9087 · Fax (888) 668-8168
9600 Two Notch Rd. #1164, Ste 5
Location 20/28Columbia, SC 29223-1612 · Phone (888) 668-9087 · Fax (888) 668-8168
867 Boylston Street, #2058, 5th Floor
Location 21/28Boston, MA 02116-2774 · Phone (888) 668-9087 · Fax (888) 668-8168
4780 I 55 N Ste 100
Location 22/28Jackson, MS 39211-5583 · Phone (888) 668-9087 · Fax (888) 668-8168
2870 E Grand Blvd Ste 600
Location 23/28Detroit, MI 48202-3120 · Phone (888) 668-9087 · Fax (888) 668-8168
1433 N. Claiborne Ave, Ste B PMB 1029
Location 24/28New Orleans, LA 70116-1810 · Phone (888) 668-9087 · Fax (888) 668-8168
14 NE 1st Ave Ste 1403
Location 25/28Miami, FL 33132-2407 · Phone (888) 668-9087 · Fax (888) 668-8168
3443 Dickerson Pike Ste 680
Location 26/28Nashville, TN 37207-2537 · Phone (615) 865-3322
310 N L Rogers Wells Blvd
Location 27/28Glasgow, KY 42141-1300 · Phone (270) 659-5555
2611 SW 17th St. Ste 253, #1012
Location 28/28Topeka, KS 66604-2603 · Phone (888) 668-9087 · Fax (888) 668-8168
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