Vitalhealthnp PLLC · Family Medicine Physician

956 Twilight Peak Ave, Henderson, NV 89012-5102

Overview

Vitalhealthnp PLLC is a Family Medicine Physician (organization) practicing in Henderson, Nevada. The National Provider Identifier (NPI) is #1831079177, which was assigned on September 5, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 956 Twilight Peak Ave, Henderson, NV 89012-5102; the contact telephone number is 7146257122. The primary taxonomy of Vitalhealthnp PLLC is Family Medicine Physician (207Q00000X). The authorized official for Vitalhealthnp PLLC is Kyra Slade (Nurse Practitioner).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1831079177
Entity Type Organization
Organization Name VITALHEALTHNP PLLC
Provider Name VITALHEALTHNP PLLC
Practice Address 956 Twilight Peak Ave
Henderson
NV 89012-5102
Practice Telephone 7146257122
Mailing Address 956 Twilight Peak Ave
Henderson
NV 89012-5102
Certification Date 2025-09-05
Enumeration Date 2025-09-05
Last Update Date 2025-09-05
Is Organization Subpart N

Authorized Official Information

Official Name KYRA SLADE
Official Title NURSE PRACTITIONER
Credential FNP-C
Telephone 7146257122

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily Medicine193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Desert Wound ClinicDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Location Information

Street Address 956 TWILIGHT PEAK AVE
City HENDERSON
State NV
Zip Code 89012-5102
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Edward Joseph Makarewicz Jr. 1730 W Horizon Ridge Pkwy, Henderson, NV 89012-1001Internal Medicine Physician2013-03-26
Dario Kristic 143 Ritchie Ct, Henderson, NV 89012-2427Massage Therapist2025-02-17
Outbound Therapy Services LLC 1562 Harwood Ave, Henderson, NV 89012-2417Occupational Therapist2024-01-17
Icare Hospice and Palliative Care Inc 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145Community Based Hospice Care Agency2024-11-19
D Klan Inc 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145Home Health Agency2014-03-17
Healthwise LLC 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145Psychiatry Physician2024-09-18
Fostering Growth, LLC 80 S Gibson Rd Apt 514, Henderson, NV 89012-2434Occupational Therapist2025-05-06
Shalini Bhatia PC 1730 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89012-1000Hospitalist Physician2013-11-15
Irawo Sky Fall LLC 83 Parker Ranch Dr, Henderson, NV 89012-2613General Practice Physician2025-03-12
Speech Builders Lv LLC 189 Verde Ridge Ct, Henderson, NV 89012-2452Speech-Language Pathologist2025-05-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.