Individual provider Active NPI

Viola Nealy, SOLO PROPIETOR

  • Personal Care Attendant
  • Tallahassee, FL
National Provider Identifier
1225623481
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
236998 Issued in FL
Practice address
3909 Reserve Dr Apt 1422
Tallahassee, FL 32311-1283
Phone
(850) 363-7470
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 236998 FL Primary

Addresses

Primary practice location

3909 Reserve Dr Apt 1422
Tallahassee, FL 32311-1283

Mailing address

3909 Reserve Dr Apt 1422
Tallahassee, FL 32311-1283
Phone (850) 363-7470

Other identifiers 1

IdentifierTypeStateIssuer
106861800MedicaidFL

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
236998FLMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1225623481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 RESERVE DR APT 1422",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111283",
            "telephone_number": "850-363-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 RESERVE DR APT 1422",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111283",
            "telephone_number": "850-363-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALY",
        "first_name": "VIOLA",
        "credential": "SOLO PROPIETOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "236998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106861800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.