Annie H Vu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24038 Issued in FL

Practice address

1036 Dunn Ave Ste 42
Jacksonville, FL 32218-6365

Phone

(904) 714-9909

NPI assigned

Jan 23, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1184188120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE STE 42",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186365",
            "telephone_number": "904-714-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE STE 42",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186365",
            "telephone_number": "904-714-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "ANNIE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24038",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vpa PC (Visiting Physicians Association)
• Mladen Kosta Vranjican, RPH
• Jonathan Vredenburg, RD,LD/N
• Jeremiah Vrudny
• VTR Anthem Lakes, LLC (Anthem Lakes Waterview Senior Living)
• John Ho Vu, M.D.
• Kristie A Vu, MD
• Linh Hue Vu, M.D.
• Yevgeniy Vugman, RN
• Alison Elaine Vukich, M.D.

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.