NPIMap

Organization Active NPI

VA Medical Center

  • Nursing Care Agency
  • Lakeland, FL
National Provider Identifier
1093049520
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN9257726 Issued in FL
Legal business name
VA MEDICAL CENTER
Practice address
5416 Orange Valley Dr
Lakeland, FL 33813-2649
Phone
(863) 602-4131
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Veta Shantaye Keys
Title
RN/Emergency Nursing
Phone
(863) 602-4131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN9257726 FL Primary
Military Hospital 286500000X RN202364 GA

Addresses

Primary practice location

5416 Orange Valley Dr
Lakeland, FL 33813-2649

Mailing address

5416 Orange Valley Dr
Lakeland, FL 33813-2649
Phone (863) 602-4131

National Provider Directory

National Provider Directory
Tax ID family
Atlanta VA Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1093049520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 ORANGE VALLEY DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132649",
            "telephone_number": "863-602-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 ORANGE VALLEY DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132649",
            "telephone_number": "863-602-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "VETA",
        "authorized_official_middle_name": "SHANTAYE",
        "authorized_official_title_or_position": "RN/EMERGENCY NURSING",
        "authorized_official_telephone_number": "863-602-4131"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9257726",
            "primary": true
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "RN202364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.