Active NPI
Valerie J. Altman, ARNP
- Nurse Practitioner
- Lecanto, FL
National Provider Identifier
1205808557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1330962
- Practice address
- 3700 W Sovereign Path
Lecanto, FL 34461-8071 - Phone
- (352) 726-1731
- Fax
- (352) 637-5397
- NPI assigned
- Feb 2, 2006
- Last updated
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1330962 | FL | Primary |
Addresses
Primary practice location
3700 W Sovereign Path
Lecanto, FL 34461-8071
Mailing address
3700 W Sovereign Path
Lecanto, FL 34461-8071
Phone (352) 726-1731
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y103F | Other | FL | BCBS |
| 5935028431021 | Other | FL | TRICARE |
| 230702 | Other | FL | HEALTHEASE |
| 34163100 | Medicaid | FL | |
| 1205808557 | Other | FL | NPI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1205808557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 W SOVEREIGN PATH",
"city": "LECANTO",
"state": "FL",
"postal_code": "344618071",
"telephone_number": "352-726-1731",
"fax_number": "352-637-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W SOVEREIGN PATH",
"city": "LECANTO",
"state": "FL",
"postal_code": "344618071",
"telephone_number": "352-726-1731",
"fax_number": "352-637-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "VALERIE",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "1330962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y103F",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "5935028431021",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "230702",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34163100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1205808557",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.