VITALITY FAMILY MEDICAL & WELLNESS PLLC
NPI 1902775984
Nurse Practitioner - Family in Bourbonnais, IL
About Vitality Family Medical & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY FAMILY MEDICAL & WELLNESS PLLC (NPI 1902775984) is a healthcare organization registered as a family in Bourbonnais, Illinois and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Karen N Smartt, Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 14D2336393
Vitality Family Medicine & Wellness PLLC · Bourbonnais, ILFrequently 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 Family Medical & Wellness PLLC's NPI number?
The NPI number for Vitality Family Medical & Wellness PLLC is 1902775984. It was assigned to this organization in the NPPES registry on October 30, 2025.
Where is Vitality Family Medical & Wellness PLLC located?
Vitality Family Medical & Wellness PLLC is located at 232 Main St NW Ste 203, Bourbonnais, IL 60914. The listed phone number is (815) 954-0136.
What is Vitality Family Medical & Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Vitality Family Medical & Wellness PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2336393) is associated with this NPI, valid through January 1, 2028. 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 Family Medical & Wellness PLLC 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.
# Vitality Family Medical & Wellness Pllc · NPI 1902775984
Family organization in Bourbonnais, Illinois. Organization record, active in the CMS NPPES registry since October 30, 2025.
## Identity
- **NPI:** 1902775984 (Entity type: Organization)
- **Enumerated:** October 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Karen Smartt, AO
## Practice location
- **Address:** 232 MAIN ST NW STE 203, Bourbonnais, IL 60914-2186
- **Phone:** (815) 954-0136
## Record status
- **NPPES last updated:** January 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902775984) · Data from the CMS NPPES public registry.