Active NPI
Joanne Vervynck
- Durable Medical Equipment & Medical Supplies
- Graham, TX
National Provider Identifier
1164655742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 1309 Brazos St
Suite 105
Graham, TX 76450-4020 - Phone
- (940) 452-4190
- Fax
- (940) 521-9465
- NPI assigned
- Aug 28, 2009
- Last updated
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
1309 Brazos St
Suite 105
Graham, TX 76450-4020
Mailing address
1309 Brazos St
Suite 105
Graham, TX 76450-4020
Phone (940) 452-4190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1164655742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 BRAZOS ST",
"address_2": "SUITE 105",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764504020",
"telephone_number": "940-452-4190",
"fax_number": "940-521-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 BRAZOS ST",
"address_2": "SUITE 105",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764504020",
"telephone_number": "940-452-4190",
"fax_number": "940-521-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERVYNCK",
"first_name": "JOANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, TX
- US-RX-Direct, LLC
- Sadie Jane Vandehey, M.A., LPA; LPC
- Shana Vandergriff, LCDC
- Steven Glenn Vaughan, MD
- Daniel Vaughn, CRNA
- W Patrick Martin MD PA
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0353)
- Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0353)
- Tammy A. Walker, LMT
- Gregory Michael Watson, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.