Vitality Mobile Wound Care LLC
NPI 1811876824 · Family Nurse Practitioner · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vitality Mobile Wound Care LLC is a Family Nurse Practitioner organization in Tyler, TX (NPI 1811876824).
Provider details
- NPI number
- 1811876824
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christopher Ethridge, Ceo(903) 420-3446
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-02
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Vitality Mobile Wound Care LLC's NPI number?
- Vitality Mobile Wound Care LLC's National Provider Identifier (NPI) is 1811876824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Mobile Wound Care LLC?
- Vitality Mobile Wound Care LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vitality Mobile Wound Care LLC located?
- Vitality Mobile Wound Care LLC's practice location on file with NPPES is 6115 New Copeland Rd Ste 640, Tyler, TX 75703-6368.
- What is Vitality Mobile Wound Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Mobile Wound Care LLC is (903) 420-3443.
- Does Vitality Mobile Wound Care LLC accept Medicare?
- Vitality Mobile Wound Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vitality Mobile Wound Care LLC?
- The authorized official listed on Vitality Mobile Wound Care LLC's NPPES record is Christopher Ethridge, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Mobile Wound Care LLC's NPI active?
- Yes — Vitality Mobile Wound Care LLC's NPI (1811876824) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.