Verimed Health Group Brooksville LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERIMED HEALTH GROUP BROOKSVILLE LLC

Doing business as

Verimed Health Group Brooksville

Practice address

932 Candlelight Blvd
Brooksville, FL 34601-3116

Phone

(352) 345-8185

Fax

(352) 345-8073

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Quinones

Title

Administrator

Phone

(813) 469-6334

Specialties & licenses 1

Addresses

Other names 1

• VERIMED HEALTH GROUP BROOKSVILLE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDACDA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Angel Gathman, APRN, DNP-C

  • Primary Care Nurse Practitioner
  • Brooksville, FL
  • NPI 1942675913

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lisa Lyn Ripley, APRN

  • Gerontology Nurse Practitioner
  • Spring Hill, FL
  • NPI 1750157244
  Medicare reassignment Care Compare group NPD
• Sajat Agarwal, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1356565253
  Medicare reassignment NPD
• Yameci Gutierrez, PA-C

  • Physician Assistant
  • New Port Richey, FL
  • NPI 1497957567
  Medicare reassignment
• Shannon Holmes Whitehead

  • Family Nurse Practitioner
  • Crystal River, FL
  • NPI 1659080562
  Medicare reassignment

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1194311407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-345-8185",
            "fax_number": "352-345-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-345-8185",
            "fax_number": "352-345-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMED HEALTH GROUP BROOKSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-469-6334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://verimedhealthgroup.com/brooksville/",
            "affiliation": "Y",
            "endpointDescription": "company website",
            "affiliationName": "veriMed IPA, LLC",
            "address_1": "932 Candlelight Blvd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346013116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VERIMED HEALTH GROUP BROOKSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlota Vazquez
• Jany Vega Castillo
• Reina M Vega
• Sai Pavan Kumar Vemula, MD
• Glennal Verbois, MD
• Verimed Health Group, Brooksville
• Lauren Verret
• Veterans Heat Factory, Inc.
• Gabriela Mehria Vieira, PA-C
• Jacklyn Viera

• Family Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.