CHANGE CENTER FOR VITALITY
NPI 1720390362
Nurse Practitioner - Family in Little Rock, AR

Active since July 12, 2010
400 W CAPITOL AVE, STE 100D, LITTLE ROCK, AR 72201(501) 324-2649 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Change Center For Vitality NPPES

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

CHANGE CENTER FOR VITALITY (NPI 1720390362) is a healthcare organization registered as a family in Little Rock, Arkansas and active in the NPI registry since July 2010. The organization lists Debra Velez, President, as its authorized official.

NPPES Registry Identity

NPI1720390362
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHANGE CENTER FOR VITALITY
Location Address400 W CAPITOL AVE, STE 100DLittle Rock, AR 72201-3436
Mailing Address400 W Capitol Ave, Ste 100dLittle Rock, AR 72201-3436 · (501) 324-2649
Organization SubpartNo
Authorized OfficialDebra VelezPresident · (501) 324-8649
Enumeration DateJuly 12, 2010
NPI 1720390362 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
400 W CAPITOL AVE, Little Rock, AR 72201

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

Other Providers at the Same Location NPPES 18

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

Home Health
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Home Health
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Nurse Practitioner (Family)
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Social Worker (Clinical)
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Durable Medical Equipment & Medical Supplies
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Counselor (Professional)
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Prosthetic/Orthotic Supplier
400 W CAPITOL AVE
LITTLE ROCK, AR 72201
Physiological Laboratory
400 W CAPITOL AVE, STE 1741
LITTLE ROCK, AR 72201

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 Change Center For Vitality's NPI number?

The NPI number for Change Center For Vitality is 1720390362. It was assigned to this organization in the NPPES registry on July 12, 2010.

Where is Change Center For Vitality located?

Change Center For Vitality is located at 400 W Capitol Ave Ste 100D, Little Rock, AR 72201. The listed phone number is (501) 324-2649.

What is Change Center For Vitality's specialty?

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

When was this NPI record last updated?

The NPPES record for Change Center For Vitality was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.