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VIP PRIMARY CARE SERVICES
NPI 1508542424
Nurse Practitioner - Family in Bartow, FL

Active since June 26, 2023CLIA 10D2299612 · Waiver
1482 N. WILSON AVE, BARTOW, FL 33830(863) 440-8770(863) 656-3401 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vip Primary Care Services NPPES

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

VIP PRIMARY CARE SERVICES (NPI 1508542424) is a healthcare organization registered as a family in Bartow, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Inga Jennings, Provider, as its authorized official.

NPPES Registry Identity

NPI1508542424
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVIP PRIMARY CARE SERVICES
Location Address1482 N. WILSON AVEBartow, FL 33830
Mailing Address2958 Warfield DriveBartow, FL 33830 · (863) 440-8770 · Fax (863) 656-3401
Phone(863) 440-8770
Fax(863) 656-3401
Organization SubpartNo
Authorized OfficialInga JenningsProvider · (863) 440-8770
Enumeration DateJune 26, 2023
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1508542424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1482 N. WILSON AVE, Bartow, FL 33830
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Other Identifiers 1

Other1428762820FL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D2299612

Vip Primary Care Services LLC · Bartow, FL
Active · expires Feb 22, 2028
CLIA Number10D2299612
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorInga A. Jennings
Laboratory Phone(863) 323-2136
Laboratory LocationVip Primary Care Services LLC1482 N Wilson Ave, Bartow, FL 33830
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Vip Primary Care Services's NPI number?

The NPI number for Vip Primary Care Services is 1508542424. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Vip Primary Care Services located?

Vip Primary Care Services is located at 1482 N. Wilson Ave, Bartow, FL 33830. The listed phone number is (863) 440-8770.

What is Vip Primary Care Services's specialty?

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

Does Vip Primary Care Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2299612) is associated with this NPI, valid through February 22, 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 Vip Primary Care Services was last updated on August 19, 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.