Individual provider Active NPI

Angeline Marie Vancuren, RRT

  • Critical Care Registered Respiratory Therapist
  • Fort Pierce, FL
National Provider Identifier
1215251947
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
RT6659 Issued in FL
Practice address
2959 W Midway Rd
Fort Pierce, FL 34981-4956
Phone
(772) 462-6601
Fax
(772) 462-6634
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Registered Respiratory Therapist 2279C0205X RT6659 FL Primary

Addresses

Primary practice location

2959 W Midway Rd
Fort Pierce, FL 34981-4956

Mailing address

962 E 13TH SQ
Vero Beach, FL 32960-2108
Phone (772) 462-6601

Other identifiers 1

IdentifierTypeStateIssuer
RT6659OtherFLREGISTERED RESPIRATORY THERAPIST

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
RT6659FLMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1215251947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 E 13TH SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602108",
            "telephone_number": "772-462-6601",
            "fax_number": "772-462-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 W MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814956",
            "telephone_number": "772-462-6601",
            "fax_number": "772-462-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCUREN",
        "first_name": "ANGELINE",
        "middle_name": "MARIE",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "FL",
            "license": "RT6659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED RESPIRATORY THERAPIST",
            "identifier": "RT6659",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.