Individual provider Active NPI

Nereyda C Vega Alfonso

  • Homemaker
  • Fort Myers, FL
National Provider Identifier
1205590809
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
237857 Issued in FL
Practice address
19451 S Tamiami TRL Ste 12
Fort Myers, FL 33908-4815
Phone
(239) 299-9787
Fax
(239) 291-5756
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 237857 FL Primary

Addresses

Primary practice location

19451 S Tamiami TRL Ste 12
Fort Myers, FL 33908-4815

Mailing address

19451 S Tamiami TRL Ste 12
Fort Myers, FL 33908-4815
Phone (239) 299-9787

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

State licenses

LicenseStateTypeSpecialty
237857FLMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Homemaker Services LLC Current Accepting new patients

Locations

19451 S Tamiami Trl
Ste 12
Fort Myers, FL 33908
Phone (239) 299-9787

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1205590809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 S TAMIAMI TRL STE 12",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084815",
            "telephone_number": "239-299-9787",
            "fax_number": "239-291-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19451 S TAMIAMI TRL STE 12",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084815",
            "telephone_number": "239-299-9787",
            "fax_number": "239-291-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA ALFONSO",
        "first_name": "NEREYDA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "237857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.