Vanilla Management LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VANILLA MANAGEMENT LLC

Practice address

20 Expedition TRL
Suite 102
Gettysburg, PA 17325-8598

Phone

(717) 515-9652

NPI assigned

Apr 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Shah

Title

Executive Director

Phone

(717) 515-9652

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1043453889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "address_2": "SUITE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "address_2": "SUITE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "717-515-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANILLA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-515-9652"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy A. Valente, CRNA
• Sabrina Louie Valente
• Tanner Jefferson Van Dell, M.D.
• Damara L Van Irvin, CNM
• Denise Marie Vanessen, PHD
• Stephanie Vargo
• Carlie Jane Vaughn
• Andrea Michelle Velasquez, PA-C
• Verity Counseling, LLC
• Vida Charter School

• Primary Care Clinic/Center in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.