NPIMap

Organization Active NPI

Department of Veterans Affairs

  • VA Clinic/Center
  • Pensacola, FL
National Provider Identifier
1164770319
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
1046A Issued in AL
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
790 Veterans Way
Pensacola, FL 32507-1000
Phone
(850) 912-2233
Fax
(850) 912-2461
NPI assigned
Aug 20, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Amy Comerford Nichols, AU.D., PH.D.
Title
Audiologist
Phone
(850) 912-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 1046A AL Primary

Addresses

Primary practice location

790 Veterans Way
Pensacola, FL 32507-1000

Mailing address

790 Veterans Way
Pensacola, FL 32507-1000
Phone (850) 912-2233

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

790 Veterans Way
Pensacola, FL 32507
Phone (850) 912-2000

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1164770319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2233",
            "fax_number": "850-912-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071000",
            "telephone_number": "850-912-2233",
            "fax_number": "850-912-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "COMERFORD",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "850-912-2233",
        "authorized_official_credential": "AU.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "AL",
            "license": "1046A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.