VITAL ROOTS WELLNESS LLC NPI 1538032131

NPI Information

  • NPI: 1538032131
  • Provider Name: VITAL ROOTS WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 14450 EAGLE RUN DR STE 270
    OMAHA, NE
    ZIP 68116
  • Phone: (402) 396-2935

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NPI Details

VITAL ROOTS WELLNESS LLC is a family nurse practitioner in Omaha, NE. VITAL ROOTS WELLNESS LLC NPI is 1538032131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14450 EAGLE RUN DR STE 270
OMAHA, NE
ZIP 68116-493
Phone: (402) 396-2935
Fax: (402) 396-2935

The provider's authorized official is Robyn Anne Rafter .
The authorized official title is Medical Director and has the following contact phone number (402) 396-2935.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 9/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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