Individual provider Active NPI

Vivian Maria Herrero, M.D.

  • Pediatrics Physician
  • Dunedin, FL
National Provider Identifier
1174798128
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME110840 Issued in FL
Practice address
424 Douglas Ave
Dunedin, FL 34698-7602
Phone
(727) 734-7337
Fax
(727) 216-3883
NPI assigned
Apr 29, 2008
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2011-0229 NM
Pediatrics Physician 208000000X ME110840 FL Primary

Addresses

Primary practice location

424 Douglas Ave
Dunedin, FL 34698-7602

Mailing address

424 Douglas Ave
Dunedin, FL 34698-7602
Phone (727) 734-7337

Other identifiers 1

IdentifierTypeStateIssuer
004012600MedicaidFL

Other names 1

  • Vivian Valverde Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME110840FLMDPediatrics Physician
MD2011-0229NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Diienno, D.C., P.a. PastSince Oct 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vivian.herrero@741919840600068.direct.elationemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1174798128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 DOUGLAS AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987602",
            "telephone_number": "727-734-7337",
            "fax_number": "727-216-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DOUGLAS AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987602",
            "telephone_number": "727-734-7337",
            "fax_number": "727-216-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERO",
        "first_name": "VIVIAN",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2011-0229",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME110840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004012600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "VALVERDE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.