Vanessa Jacques

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

236532 Issued in FL

Practice address

2945 NE 3Rd St Ste 202
Ocala, FL 34470-9020

Phone

(352) 281-6727

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Viceroy Home Health, LLC

  dba Viceroy Home Services

  • Home Health Aide
  • Ocala, FL
  • NPI 1558092163
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1295332971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344781343",
            "telephone_number": "352-281-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 NE 3RD ST STE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344709020",
            "telephone_number": "352-281-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "236532",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "236532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "viceroyhomecare.com",
            "affiliation": "N",
            "endpointDescription": "viceroyhomecare.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "2945 NE 3rd St Ste 202",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344709020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracie Lee Jackson, RDN, LMNT, CDCES
• Sarah Jacobi-Wasserman
• Bobbi Jacobowitz, MA
• Jacqueline Marie Jacobowitz, LMHC
• Jamie Ann Jacobs, PA-C
• Devin R Jacquet
• Lakshmi Jagalur, M.A., M.S.
• Jagannadha R. Vyapaka, M.D.,P.a.
• Kelly Kathleen Jago, M.D.
• Abhishek Jagtap

• Administrator Registered Nurse in Ocala, FL
• Providers in Ocala, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.