Individual provider Active NPI

Gianna Vagueiro, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1053134049
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15201400 Issued in NJ
Practice address
4055 Valley View LN
Dallas, TX 75244-5074
Phone
(877) 868-5351
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15201400 NJ Primary

Addresses

Primary practice location

4055 Valley View LN
Dallas, TX 75244-5074

Mailing address

106 Polk Dr
Brick, NJ 08724-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, OH, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250428002813 NJ Practitioner - Nurse Practitioner 4385160852 Reassigns benefits to 1 organization
I20260206000767 OH Practitioner - Nurse Practitioner 4385160852 Reassigns benefits to 2 organizations
I20260624000088 FL Practitioner - Nurse Practitioner 4385160852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3131 NE 1St Ave
Apt 1409
Miami, FL 33137-5346

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 13, 2026 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 1, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1053134049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 POLK DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "877-868-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGUEIRO",
        "first_name": "GIANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15201400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.