VITALITY MOBILE WOUND CARE LLC
NPI 1811876824
Nurse Practitioner - Family in Tyler, TX

Q: What is Vitality Mobile Wound Care LLC's NPI number?

The NPI number for Vitality Mobile Wound Care LLC is 1811876824. It was assigned to this organization in the NPPES registry on September 2, 2025.

Q: What is Vitality Mobile Wound Care LLC's specialty?

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

Active since September 02, 2025

6115 NEW COPELAND RD STE 640, TYLER, TX 75703(903) 420-3443 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Jan 25, 2026, Dec 9, 2025 and 1 more (4 updates tracked since 2025).

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About Vitality Mobile Wound Care Llc NPPES

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

VITALITY MOBILE WOUND CARE LLC (NPI 1811876824) is a healthcare organization registered as a family in Tyler, Texas and active in the NPI registry since September 2025. The organization lists Christopher Lamar Ethridge, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811876824

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameVITALITY MOBILE WOUND CARE LLC

Location Address6115 NEW COPELAND RD STE 640Tyler, TX 75703-6368

Mailing Address6115 New Copeland Rd Ste 640Tyler, TX 75703-6368 · (903) 420-3443 · Fax (903) 630-8797

Phone(903) 420-3443

Organization SubpartNo

Authorized OfficialChristopher Lamar EthridgeCeo · (903) 420-3446

Enumeration DateSeptember 2, 2025

Last NPPES UpdateJune 8, 20264 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1811876824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

6115 NEW COPELAND RD STE 640, Tyler, TX 75703

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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

Other Providers at the Same Location NPPES 2

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

MRS. KELLI EMELINE IVY APRN, FNP-BC

Nurse Practitioner (Family)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (903) 420-3443

MS. PATRICIA ANN JUSTICE STEVENSON APRN

Clinical Nurse Specialist (Adult Health)

6115 NEW COPELAND RD STE 640
TYLER, TX 75703

Smith County (405) 473-2123

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 Vitality Mobile Wound Care LLC's NPI number?

The NPI number for Vitality Mobile Wound Care LLC is 1811876824. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Vitality Mobile Wound Care LLC located?

Vitality Mobile Wound Care LLC is located at 6115 New Copeland Rd Ste 640, Tyler, TX 75703. The listed phone number is (903) 420-3443.

What is Vitality Mobile Wound Care LLC'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 Vitality Mobile Wound Care LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.