Nely Gabasa Villavicencio, R.N

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

299993080 Issued in FL

Practice address

2750 N McMullen Booth Rd
Suite 102-E
Clearwater, FL 33761-3362

Phone

(813) 944-2178

Fax

(813) 343-8107

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1184890220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 102-E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613362",
            "telephone_number": "813-944-2178",
            "fax_number": "813-343-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 102-E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613362",
            "telephone_number": "813-944-2178",
            "fax_number": "813-343-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "NELY",
        "middle_name": "GABASA",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "299993080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "299993080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Villa Batista
• Kristina Anicia Villafria, DMD
• Raquel Villar Machado, DMD
• Christian Villar, DPT
• Eric David Villarreal, MD
• Harold Vilme, CSFA
• Jose Roberto Vina
• Jonathan Vincent, B.A.
• Cathy M. Vinciguerra, A.R.N.P.
• Virgina Em-I Medical Services, P C

• Home Health Registered Nurse in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.