Vital Rd LLC
NPI 1326620758ActiveOrganization· Nurse Practitioner, Family· Centennial, CO
Nurse Practitioner, Family in Centennial, Colorado, registered in NPPES in April 2021. The authorized official on file is Jessica Crandall, RD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326620758 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2021 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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