Zachary Taylor Vandall, CSA/LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

0136000367 Issued in VA

Practice address

13710 St Francis Blvd
Midlothian, VA 23114-3267

Phone

(804) 594-3050

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1174299051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 FOXCATCHER CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356544",
            "telephone_number": "577-968-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 ST FRANCIS BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143267",
            "telephone_number": "804-594-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALL",
        "first_name": "ZACHARY",
        "middle_name": "TAYLOR",
        "credential": "CSA/LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zachary_vandall@bshsi.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "BON SECOURS ST FRANCIS MEDICAL CENTER LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13710 St Francis Blvd",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231143267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sam-Sudhakar R Vakadani
• Nadia Valcin
• Shawn Van Decker, PTA, OPTA, CPT
• Gabriela Acierno Van Sickle
• Lucas Vance, PA
• Kayla Anne Vanderford, CRNP
• Vanessa Ellison, LCSW, LLC
• Melanie Vann, LPC
• Jeffrey Neil Vanpelt, ED.D.
• Carolyn F. Vargas-Jackson, CCC/SLP

• Surgical Assistant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.