Active NPI
Vanessa Hamalian, ARNP
- Family Nurse Practitioner
- Venice, FL
National Provider Identifier
1265774186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9272277
- Practice address
- 1101 Tamiami TRL S Ste 108
Venice, FL 34285 - Phone
- (941) 488-2332
- NPI assigned
- Mar 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9272277 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9272277 | FL | Primary |
Addresses
Primary practice location
1101 Tamiami TRL S Ste 108
Venice, FL 34285
Mailing address
2831 Ringling Blvd Ste 220F
Sarasota, FL 34237-5354
Phone (941) 253-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latitude Clinic LLC | Current | Accepting new patients |
Locations
2831 Ringling Blvd
Ste 220F
Sarasota, FL 34237
Phone (941) 253-2530
Interoperability endpoints
- vanessa.hamalian@317618992447492.direct.elationemr.com
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.
-
- Primary Care Clinic/Center
- Sarasota, FL
- NPI 1598345654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1265774186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 RINGLING BLVD STE 220F",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375354",
"telephone_number": "941-253-2530",
"fax_number": "941-303-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 TAMIAMI TRL S STE 108",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-488-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMALIAN",
"first_name": "VANESSA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9272277",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9272277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.