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VITALITY LIFESTYLE MEDICINE
NPI 1801325659
Nurse Practitioner - Adult Health in Lenexa, KS

Active since June 06, 2017CLIA 17D2137713 · Waiver
11001 HAUSER ST, LENEXA, KS 66210(913) 963-6618(913) 353-4031 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 8, 2024, Jun 6, 2017 (2 updates tracked since 2017).

About Vitality Lifestyle Medicine NPPES

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

VITALITY LIFESTYLE MEDICINE (NPI 1801325659) is a healthcare organization registered as an adult health in Lenexa, Kansas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Everett G. Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1801325659
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameINTEGRATIVE HEALTH PROVIDERS LLC
Location Address11001 HAUSER STLenexa, KS 66210-3708
Mailing Address11001 Hauser StLenexa, KS 66210-3708 · (913) 963-6618 · Fax (913) 353-4031
Phone(913) 963-6618
Fax(913) 353-4031
Organization SubpartNo
Authorized OfficialEverett G. BennettOwner · (913) 353-4703
Enumeration DateJune 6, 2017
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1801325659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedInternal MedicineTaxonomy 207R00000X · License 04-23015 (KS)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
11001 HAUSER ST, Lenexa, KS 66210
Open in Google Maps ↗

Other Names 1

Doing Business AsVitality Lifestyle Medicine

Other Identifiers 1

Other53-77127-041KS · Kansas State Board Of Nursing- Nurse Practitioner License Number

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 17D2137713

Integrative Health Providers · Lenexa, KS
Active · expires Oct 2, 2027
CLIA Number17D2137713
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorEverett G. Bennett III
Laboratory Phone(913) 353-4703
Laboratory LocationIntegrative Health Providers11001 Hauser St, Lenexa, KS 66210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

EVERETT G. BENNETT III NP
Nurse Practitioner
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 353-4703
KC CHIRO, LLC
Chiropractor
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 888-4845
DR. ANDREW SCHRIEVER DC
Chiropractor
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 322-4100
MRS. MARY ELIZABETH MOSTELLER LMT
Massage Therapist
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 942-0340
DR. BRENTON TROUTMAN DC
Chiropractor (Rehabilitation)
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 322-4100
DR. JEFFERY ADAM LIGON D.C.
Chiropractor
11001 HAUSER ST
LENEXA, KS 66210
Johnson County (913) 888-4845
ADINA YODLER PNP
Nurse Practitioner (Pediatrics)
11001 HAUSER ST
OVERLAND PARK, KS 66210
Johnson County (913) 353-4703

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 Integrative Health Providers LLC's NPI number?

The NPI number for Integrative Health Providers LLC is 1801325659. It was assigned to this organization in the NPPES registry on June 6, 2017. The provider is doing business as Vitality Lifestyle Medicine.

Where is Integrative Health Providers LLC located?

Integrative Health Providers LLC is located at 11001 Hauser St, Lenexa, KS 66210. The listed phone number is (913) 963-6618.

What is Integrative Health Providers LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Integrative Health Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2137713) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrative Health Providers LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrative Health Providers LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrative Health Providers LLC was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.