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VIBRANT LIFE DIRECT CARE, PLLC
NPI 1730880212
Clinic/Center - Primary Care in Tuttle, OK

Active since March 13, 2023CLIA 37D2279587 · Waiver
2618 E HIGHWAY 37 STE 100, TUTTLE, OK 73089(405) 376-1381(800) 488-3294 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vibrant Life Direct Care, Pllc NPPES

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

VIBRANT LIFE DIRECT CARE, PLLC (NPI 1730880212) is a healthcare organization registered as a primary care in Tuttle, Oklahoma and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Lydia Jemison Dennis, Owner, as its authorized official.

NPPES Registry Identity

NPI1730880212
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIBRANT LIFE DIRECT CARE, PLLC
Location Address2618 E HIGHWAY 37 STE 100Tuttle, OK 73089-8479
Mailing Address2618 E Highway 37 Ste 100Tuttle, OK 73089-8479 · (405) 376-1381 · Fax (800) 488-3294
Phone(405) 376-1381
Fax(800) 488-3294
Organization SubpartYes
Authorized OfficialLydia Jemison DennisOwner · (405) 708-3385
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1730880212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2618 E HIGHWAY 37 STE 100, Tuttle, OK 73089
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Other Names 1

Other NameVibrant Life Direct Care Tuttle

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 37D2279587

Vibrant Life Direct Care Tuttle · Tuttle, OK
Active · expires Apr 3, 2027
CLIA Number37D2279587
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorLydia J. Dennis
Laboratory Phone(405) 376-1381
Laboratory LocationVibrant Life Direct Care Tuttle2618 E Hwy 37 Suite 100, Tuttle, OK 73089
CLIA data matches this NPI record on: Address Name Phone
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 Vibrant Life Direct Care, PLLC's NPI number?

The NPI number for Vibrant Life Direct Care, PLLC is 1730880212. It was assigned to this organization in the NPPES registry on March 13, 2023. The provider is also known as Vibrant Life Direct Care Tuttle.

Where is Vibrant Life Direct Care, PLLC located?

Vibrant Life Direct Care, PLLC is located at 2618 E Highway 37 Ste 100, Tuttle, OK 73089. The listed phone number is (405) 376-1381.

What is Vibrant Life Direct Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Vibrant Life Direct Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2279587) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vibrant Life Direct Care, PLLC was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.