| Vital Health & Integrative Care | |
|
6131 James Madison Pkwy King George VA 22485-5351 | |
| (703) 660-4676 | |
| Not Available |
| Full Name | Vital Health & Integrative Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 6131 James Madison Pkwy, King George, Virginia |
| Authorized Official Name and Position | Aminata Kamara (OWNER) |
| Authorized Official Contact | 7036604676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Health & Integrative Care 6131 James Madison Pkwy King George VA 22485-5351 Ph: (571) 505-1744 | Vital Health & Integrative Care 6131 James Madison Pkwy King George VA 22485-5351 Ph: (703) 660-4676 |
| NPI Number | 1851046031 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 04/15/2026 |
| Medicare PECOS PAC ID | 3072986439 |
|---|---|
| Medicare Enrollment ID | O20230306001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417330390 PECOS PAC ID: 4486960200 Enrollment ID: I20150825003070 |
| Provider Name | Aminata Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831724319 PECOS PAC ID: 0941611735 Enrollment ID: I20201130002377 |
| Provider Name | Kristen Ritenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629765813 PECOS PAC ID: 9032575345 Enrollment ID: I20230608002687 |
| Provider Name | Shojuana Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083288237 PECOS PAC ID: 7315388576 Enrollment ID: I20240518000442 |
| Provider Name | Fredrick Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700486198 PECOS PAC ID: 8224576814 Enrollment ID: I20240814001301 |
| Provider Name | Edith Nkeze |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699500496 PECOS PAC ID: 4587192984 Enrollment ID: I20250113003585 |
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