VITA FAMILY PRACTICE PLLC (NPI# 1770004723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770004723 |
Entity Type | Organization |
Organization Name | VITA FAMILY PRACTICE PLLC |
Practice Address |
609 Executive Pl Ste B Fayetteville NC 28305-5713 |
Mailing Address |
5700 Waldwick Rd Fayetteville NC 28311-3410 |
Practice Telephone | 9104893185 |
Mailing Telephone | 9102577947 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |
Authorized Official Name | LUKISHA D PURDIE (OFFICE MANAGER) |
Authorized Official Telephone | 9102577947 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
609 EXECUTIVE PL STE B |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28305-5713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
Find all providers in zip 28305 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1720642770 | Arcare | Clinic/Center | 2894 N Mckee Cir Ste 101, Fayetteville, AR 72703-3498 | 2019-04-25 |
1174003685 | Premise Health of Arkansas Medical P A | Clinic/Center | 2907 E Joyce Blvd Ste 6, Fayetteville, AR 72703-5390 | 2018-08-15 |
1083087837 | Cornerstone Family Practice & Urgent Care, Pllc | Clinic/Center | 2547 Ravenhill Dr, Suite 104, Fayetteville, NC 28303-9616 | 2015-11-02 |
1609186790 | Stedman - Wade Health Services, Inc | Clinic/Center | 2409 Murchison Rd Ste B, Fayetteville, NC 28301-3519 | 2010-10-07 |
1093020240 | Georgia Medical Consultants, P.C. | Clinic/Center | 101 Devant Street, Suite 105, Fayetteville, GA 30214-7636 | 2010-08-12 |
1063682227 | Noralean Williams,md,pa | Clinic/Center | 705 Cumberland St, #a, Fayetteville, NC 28301-7020 | 2008-03-04 |
1548358526 | Carolina Family Practice Centre,pa | Clinic/Center | 2500 Village Dr Ste 100, Fayetteville, NC 28304-3811 | 2006-10-11 |
1841247368 | Five Oaks Family Clinic, Inc. | Clinic/Center | Rr 3 Box 458e, Fayetteville, WV 25840-9589 | 2006-05-29 |
1649223637 | Well Point Urgent Care and Family Clinic Inc | Clinic/Center | 601 Ramsey St, Fayetteville, NC 28301-4913 | 2006-05-18 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28305 |
Please comment or provide details below to improve the information on VITA FAMILY PRACTICE PLLC.
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.