VITALITY FUNCTIONAL FAMILY MEDICINE
NPI 1902613813
Clinic/Center - Primary Care in Tulsa, OK
About Vitality Functional Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY FUNCTIONAL FAMILY MEDICINE (NPI 1902613813) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Chris Smith, Co Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 37D2313854
Vitality Functional Family Medicine · Tulsa, OKOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Family Medicine's NPI number?
The NPI number for Vitality Functional Family Medicine is 1902613813. It was assigned to this organization in the NPPES registry on December 13, 2024.
Where is Vitality Functional Family Medicine located?
Vitality Functional Family Medicine is located at 2514 E 15th St Ste A, Tulsa, OK 74104. The listed phone number is (918) 237-9889.
What is Vitality Functional Family Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Vitality Functional Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2313854) is associated with this NPI, valid through November 6, 2026. 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 Functional Family Medicine was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Vitality Functional Family Medicine · NPI 1902613813
Primary Care organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since December 13, 2024.
## Identity
- **NPI:** 1902613813 (Entity type: Organization)
- **Enumerated:** December 13, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Chris Smith, CO OWNER
## Practice location
- **Address:** 2514 E 15TH ST STE A, Tulsa, OK 74104-4655
- **Phone:** (918) 237-9889
## Record status
- **NPPES last updated:** December 13, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1902613813) · Data from the CMS NPPES public registry.