Active NPI
Elizabeth Ann Vandevelde, ANP-C
- Adult Health Nurse Practitioner
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9413942
- Practice address
- 129 North Washington
Tuomey Healthcare System
Sumter, SC 29152 - Phone
- (803) 774-5248
- NPI assigned
- Jul 21, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9413942 | FL | Primary |
Addresses
Primary practice location
129 North Washington
Tuomey Healthcare System
Sumter, SC 29152
Mailing address
535 Batty Way
Sumter, SC 29154-8156
Phone (803) 607-9070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-04286 | Other | SC | SC DHEC |
| A0796043 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS | |
| 4286 | Other | SC | SC LLR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 Granello Ave
Coral Gables, FL 33146-1806
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9413942 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Clinical LTC Associates of Ohio, Inc. | Current | Accepting new patients | |
| Curana Health of Florida LLC | Current | Accepting new patients | |
| Sunshine Health Partners, LLC | Current | Accepting new patients |
Locations
2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050
1111 S Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-4083
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1013628676
-
- Gerontology Nurse Practitioner
- Parma, OH
- NPI 1114609815
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1710595640
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1043919822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1285899146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BATTY WAY",
"city": "SUMTER",
"state": "SC",
"postal_code": "291548156",
"telephone_number": "803-607-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 NORTH WASHINGTON",
"address_2": "TUOMEY HEALTHCARE SYSTEM",
"city": "SUMTER",
"state": "SC",
"postal_code": "29152",
"telephone_number": "803-774-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEVELDE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9413942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC DHEC",
"identifier": "54-04286",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "A0796043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LLR",
"identifier": "4286",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.