VITALITY FUNCTIONAL MEDICINE LLC
NPI 1821517954
Nurse Practitioner - Family in Bend, OR

Active since September 09, 2017
155 SW CENTURY DR STE 111, BEND, OR 97702(458) 206-3331(620) 506-4777 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 26, 2017 (2 updates tracked since 2017).

About Vitality Functional Medicine Llc NPPES

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

VITALITY FUNCTIONAL MEDICINE LLC (NPI 1821517954) is a healthcare organization registered as a family in Bend, Oregon and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Bend and lists Erin Arnold Bishop, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1821517954
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY FUNCTIONAL MEDICINE LLC
Location Address155 SW CENTURY DR STE 111Bend, OR 97702-1657
Mailing Address19657 Aspen Ridge DrBend, OR 97702-3366 · (561) 676-6121
Fax(620) 506-4777
Organization SubpartNo
Authorized OfficialErin Arnold BishopNurse Practitioner · (561) 676-6121
Enumeration DateSeptember 9, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1821517954 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
License Licensed in OR · 201706673NP
155 SW CENTURY DR STE 111, Bend, OR 97702

Secondary Practice Location 1

Location 119657 Aspen Ridge DrBend, OR 97702-3366 · Phone (561) 676-6121

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

Accepted Insurance

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.

Chiropractor
155 SW CENTURY DR STE 111
BEND, OR 97702
Chiropractor
155 SW CENTURY DR STE 111
BEND, OR 97702
Student in an Organized Health Care Education/Training Program
155 SW CENTURY DR STE 111
BEND, OR 97702
Massage Therapist
155 SW CENTURY DR STE 111
BEND, OR 97702
Massage Therapist
155 SW CENTURY DR STE 111
BEND, OR 97702
Nurse Practitioner
155 SW CENTURY DR STE 111
BEND, OR 97702
Chiropractor
155 SW CENTURY DR STE 111
BEND, OR 97702

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 Functional Medicine LLC's NPI number?

The NPI number for Vitality Functional Medicine LLC is 1821517954. It was assigned to this organization in the NPPES registry on September 9, 2017.

Where is Vitality Functional Medicine LLC located?

Vitality Functional Medicine LLC is located at 155 SW Century Dr Ste 111, Bend, OR 97702. The listed phone number is (458) 206-3331.

What is Vitality Functional Medicine LLC's specialty?

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

What insurance does Vitality Functional Medicine LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Vitality Functional Medicine 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 Vitality Functional Medicine LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.