VITALISTICS, LLC (NPI# 1942617071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942617071 |
| Entity Type | Organization |
| Organization Name | VITALISTICS, LLC |
| Other Organization Name | VITALISTICS, INC |
| Practice Address |
222 S 15th St # 1005n Omaha NE 68102-1680 |
| Mailing Address |
5930 E Pima St #232 Tucson AZ 85712-4370 |
| Practice Telephone | 8445509970 |
| Practice Fax Number | 8445509971 |
| Mailing Telephone | 8445509970 |
| Mailing Fax Number | 8445509971 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | JENNIFER STEPHENSON (COO) |
| Authorized Official Telephone | 8445509970 |
| Authorized Official Credential | RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Vitalistics, Inc | Former Legal Business Name - Organization |
| Street Address |
222 S 15TH ST # 1005N |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950239 | Nebraska Health Imaging LLC | Physiological Laboratory | 7819 Dodge St, Omaha, NE 68114-3411 | 2005-05-24 |
| 1639538671 | Braincare, LLC | Physiological Laboratory | 1299 Farnam St, Ste 312, Omaha, NE 68102-1880 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248666 | Dorman LLC | Physiological Laboratory | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2020-09-03 |
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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.