VITALITY PAIN MANAGEMENT LLC NPI 1780463653

NPI Information

  • NPI: 1780463653
  • Provider Name: VITALITY PAIN MANAGEMENT LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 2700 OLD ROSEBUD RD STE 330
    LEXINGTON, KY
    ZIP 40509
  • Phone: (502) 352-2530

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NPI Details

VITALITY PAIN MANAGEMENT LLC is an interventional pain medicine pain medicine in Lexington, KY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. VITALITY PAIN MANAGEMENT LLC NPI is 1780463653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2700 OLD ROSEBUD RD STE 330
LEXINGTON, KY
ZIP 40509-630
Phone: (502) 352-2530

The provider's authorized official is Tamia Fisher .
The authorized official title is Credentialing and has the following contact phone number (812) 962-7894.

The enumeration date for this NPI number is 9/28/2023 and was last updated on 9/28/2023.

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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
4208VP0000XPain MedicinePain MedicineNo
5332B00000XDurable Medical Equipment & Medical SuppliesNo
6363A00000XPhysician AssistantNo
7363AM0700XPhysician AssistantMedicalNo
8363L00000XNurse PractitionerNo
9367500000XNurse Anesthetist, Certified RegisteredNo
10367H00000XAnesthesiologist AssistantNo
11208VP0014XPain MedicineInterventional Pain MedicineYes

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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