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VITALITY HEALTH AND WELLNESS CLINIC INTEGRATIVE MEDICINE LLC
NPI 1821978289
Nurse Practitioner - Family in Los Lunas, NM

Active since September 05, 2025CLIA 32D2332984 · Waiver
705 MAIN ST SW, LOS LUNAS, NM 87031(505) 808-1866 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Sep 18, 2025, Sep 5, 2025 (3 updates tracked since 2025).

About Vitality Health And Wellness Clinic Integrative Medicine Llc NPPES

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

VITALITY HEALTH AND WELLNESS CLINIC INTEGRATIVE MEDICINE LLC (NPI 1821978289) is a healthcare organization registered as a family in Los Lunas, New Mexico and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jahnelle Garcia, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1821978289
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY HEALTH AND WELLNESS CLINIC INTEGRATIVE MEDICINE LLC
Location Address705 MAIN ST SWLos Lunas, NM 87031-8308
Mailing Address705 Main St SwLos Lunas, NM 87031-8308 · (505) 808-1866 · Fax (505) 808-6966
Phone(505) 808-1866
Organization SubpartNo
Authorized OfficialJahnelle GarciaNurse Practitioner · (505) 239-9146
Enumeration DateSeptember 5, 2025
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1821978289 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
705 MAIN ST SW, Los Lunas, NM 87031
Open in Google Maps ↗

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

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 32D2332984

Vitality Health And Wellness Clinic LLC · Los Lunas, NM
Active · expires Oct 27, 2027
CLIA Number32D2332984
Laboratory TypePrimary Care/Med Spa
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorJahnelle Garcia
Laboratory Phone(505) 814-5386
Laboratory LocationVitality Health And Wellness Clinic LLC705 Main St, Los Lunas, NM 87031
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. ERIC WINTERTON DDS
Dentist
705 MAIN ST SW
LOS LUNAS, NM 87031
Valencia County (505) 865-3395
DR. RONALD PHILIP UILKIE D.D.S.
Dentist (General Practice)
705 MAIN ST SW
LOS LUNAS, NM 87031
Valencia County (505) 865-3395
MAIN STREET DENTISTRY
Clinic/Center (Dental)
705 MAIN ST SW
LOS LUNAS, NM 87031
Valencia County (505) 865-3395
ERIC WINTERTON DDS LLC
Clinic/Center (Dental)
705 MAIN ST SW
LOS LUNAS, NM 87031
Valencia County (505) 865-3395

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 Health And Wellness Clinic Integrative Medicine LLC's NPI number?

The NPI number for Vitality Health And Wellness Clinic Integrative Medicine LLC is 1821978289. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Vitality Health And Wellness Clinic Integrative Medicine LLC located?

Vitality Health And Wellness Clinic Integrative Medicine LLC is located at 705 Main St SW, Los Lunas, NM 87031. The listed phone number is (505) 808-1866.

What is Vitality Health And Wellness Clinic Integrative Medicine LLC's specialty?

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

Does Vitality Health And Wellness Clinic Integrative Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2332984) is associated with this NPI, valid through October 27, 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 Vitality Health And Wellness Clinic Integrative Medicine LLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.