Veenakumar

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

W268696 Issued in FL

Legal business name

VEENAKUMAR

Practice address

12152 Basalt Dr S
Jacksonville, FL 32246-0680

Phone

(904) 619-4204

NPI assigned

Oct 8, 2016

Last updated

Oct 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Veena Kumar

Title

Manager

Phone

(904) 619-4204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1275083727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 BASALT DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460680",
            "telephone_number": "904-619-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 BASALT DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460680",
            "telephone_number": "904-619-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEENAKUMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VEENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-619-4204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "FL",
            "license": "W268696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Isela Vazquez
• David Lee Veasey Jr., PHARM.D.
• Jennifer Lisa Vedral-Baron, ARNP
• Vedre Cardiovascular Care Inc
• Ameeth Vedre, MD
• Benjamin R Veenstra, M.D.
• Bryan Vega Sanabria, MD
• Willie Vega-Galindo, CRNA
• Irisel Vega-Vargas, PSY.D
• Alexandra Nicole Vega, MD

• PACE Provider Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.