VITAL HEALING FUNCTIONAL MEDICINE, LLC
NPI 1992458285
Clinic/Center - Health Service in Rapid City, SD

Q: What is Vital Healing Functional Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since January 27, 2022

1760 CENTRE ST STE B, RAPID CITY, SD 57703(605) 872-0404(605) 472-7304 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Jan 27, 2022 (2 updates tracked since 2022).

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About Vital Healing Functional Medicine, Llc NPPES

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

VITAL HEALING FUNCTIONAL MEDICINE, LLC (NPI 1992458285) is a healthcare organization registered as a health service in Rapid City, South Dakota and active in the NPI registry since January 2022. The organization lists Olivia Gorans, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1992458285

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameVITAL HEALING FUNCTIONAL MEDICINE, LLC

Location Address1760 CENTRE ST STE BRapid City, SD 57703-4035

Mailing Address1760 Centre St Ste BRapid City, SD 57703-4035 · (605) 872-0404 · Fax (605) 472-7304

Phone(605) 872-0404

Fax(605) 472-7304

Organization SubpartNo

Authorized OfficialOlivia GoransSole Member · (605) 472-0404

Enumeration DateJanuary 27, 2022

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1992458285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

1760 CENTRE ST STE B, Rapid City, SD 57703

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Other Providers at the Same Location NPPES

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

OLIVIA GORANS CNP

Nurse Practitioner (Family)

1760 CENTRE ST STE B
RAPID CITY, SD 57703

Pennington County (605) 872-0404

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 Vital Healing Functional Medicine, LLC's NPI number?

The NPI number for Vital Healing Functional Medicine, LLC is 1992458285. It was assigned to this organization in the NPPES registry on January 27, 2022.

Where is Vital Healing Functional Medicine, LLC located?

Vital Healing Functional Medicine, LLC is located at 1760 Centre St Ste B, Rapid City, SD 57703. The listed phone number is (605) 872-0404.

What is Vital Healing Functional Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Vital Healing Functional Medicine, LLC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.