Active NPI
Ivelisse Vega
- Social Worker
- Kissimmee, FL
National Provider Identifier
1255077541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 618 N Main St
Kissimmee, FL 34744-5262 - Phone
- (407) 343-6006
- NPI assigned
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | PR | Primary |
Addresses
Primary practice location
618 N Main St
Kissimmee, FL 34744-5262
Mailing address
2107 Drive Way
Kissimmee, FL 34746-3899
Phone (787) 671-7288
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1255077541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 DRIVE WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463899",
"telephone_number": "787-671-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445262",
"telephone_number": "407-343-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "IVELISSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.