Individual provider Active NPI

Vanessa Geliane Janvier, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1174953764
Registry record updated Dec 8, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jun 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107394 Issued in FL
Practice address
11373 SW 211TH St
Suite 16
Miami, FL 33189-2245
Phone
(305) 234-0009
Fax
(305) 234-8688
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107394 FL Primary

Addresses

Primary practice location

11373 SW 211TH St
Suite 16
Miami, FL 33189-2245

Mailing address

11373 SW 211TH St
Suite 16
Miami, FL 33189-2245
Phone (305) 234-0009

Other identifiers 1

IdentifierTypeStateIssuer
014303500MedicaidFL

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
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107394FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yesenia Medina DO PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1174953764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST",
            "address_2": "SUITE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892245",
            "telephone_number": "305-234-0009",
            "fax_number": "305-234-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST",
            "address_2": "SUITE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892245",
            "telephone_number": "305-234-0009",
            "fax_number": "305-234-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANVIER",
        "first_name": "VANESSA",
        "middle_name": "GELIANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014303500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.