OrganizationActive
Vitality Functional Medicine LLC
NPI 1821517954 · Family Nurse Practitioner · Bend, OR
Provider details
- NPI number
- 1821517954
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Erin Bishop, Nurse Practitioner(561) 676-6121
- License
- 201706673NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
155 Sw Century Dr Ste 111
Bend, OR 97702-1657
Phone: (458) 206-3331
Fax: (620) 506-4777
Street-level locationGet directions
Mailing address
19657 Aspen Ridge Dr
Bend, OR 97702-3366
Additional practice locations (1)
- 19657 Aspen Ridge DrBend, OR 97702-3366Phone: (561) 676-6121
Registry dates
- Enumerated
- 2017-09-09
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.