VITALITY CLINIC (NPI# 1346637865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346637865 |
| Entity Type | Organization |
| Organization Name | VITALITY CLINIC |
| Practice Address |
111 N. Missouri Street Jackson MO 63755 |
| Mailing Address |
465 S. Mount Auburn Rd Suite 103 Cape Girardeau MO 63703 |
| Practice Telephone | 5737550340 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | JAMIE KYLE MCCOY (OWNER) |
| Authorized Official Telephone | 5737550340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | VITALITY CLINIC LLC | 4521 Cool Springs Ct, Zionsville, IN 46077 |
| Street Address |
111 N. MISSOURI STREET |
| City | JACKSON |
| State | MO |
| Zip Code | 63755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1144569567 | Rock Care In Home Services, LLC | Nursing Care | 204 S Union Ave, Jackson, MO 63755 | 2013-02-05 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1154689321 | Benjamin Gail Goodier | Dentist | 3100 East Jackson Blvd., Jackson, MO 63755 | 2012-04-25 |
| 1912278987 | Guardian Angels Homecare, LLC | Nursing Care | 1335 Old Cape Rd., Suite F, Jackson, MO 63755 | 2012-01-23 |
| 1528357829 | Sydney Nicole Cheek | Technician, Other | 107 Cottonwood St., Jackson, MO 63755 | 2011-04-07 |
| 1215162920 | Troy L Bell Od & Associates, PC | Optometrist | 2594 E Jackson Blvd, Jackson, MO 63755 | 2009-05-26 |
| 1932398021 | Immediate Healthcare, Inc. | General Practice | 1508 Edgemont Blvd, Perryville, MO 63755 | 2007-10-15 |
| 1134315591 | Catherine Montano Alipala | Occupational Therapist | 115 K-land Drive, Jackson, MO 63755 | 2007-09-19 |
| Find all providers in zip 63755 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843590 | Angela Deberry | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
| 1649774522 | Erica Thompson | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
| 1356954440 | Nicholas Jackson | Health Educator | 2500 North State St., Preventive Medicine Department, Jackson, MS 39216 | 2020-08-28 |
| 1518580679 | Gwen Ragland | Health Educator | 460 N Parkway, Jackson, TN 38305-2818 | 2020-05-24 |
| 1720601164 | William R Lovelady | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
| 1194363820 | Candice Brea Cole | Health Educator | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-12 |
| 1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
| 1356906648 | Mireya Alexander | Health Educator | 1230 Raymond Rd, Jackson, MS 39204-4583 | 2019-05-02 |
| 1114421021 | Magnolia Medical Foundation | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
| 1770087140 | Judy L Davis | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.