North Florida/South Georgia Veteran's Health Administration

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

PN 5161386 Issued in FL

Legal business name

NORTH FLORIDA/SOUTH GEORGIA VETERAN'S HEALTH ADMINISTRATION

Practice address

619 S Marion Ave
Lake City, FL 32025-5808

Phone

(386) 755-3016

NPI assigned

Jan 6, 2008

Last updated

Jan 6, 2008By 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

Ms. Lori Ann Cornett, LPN

Title

Licensed Practical Nurse

Phone

(386) 755-3016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199577600000",
    "number": "1306021647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA/SOUTH GEORGIA VETERAN'S HEALTH ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-01-06",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "386-755-3016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "PN 5161386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Primary Care PLLC
• North Florida Radiation Oncology (HCA Florida North Florida Cancer Center)
• North Florida Rehabilitation, Inc.
• North Florida Surgery Center Inc (North Florida Surgery Center)
• North Florida Surgery Center Inc
• Christina E North
• Notami Hospitals of Florida Inc (HCA Florida Lake City Hospital)
• Notami Hospitals of Florida Inc (HCA Florida Lake City Hospital)
• Rebecca Blue O'Connell, PHARMD
• Michael O'Rourke, PHARM D

• Long Term Care Hospital in Lake City, FL
• Providers in Lake City, FL by specialty
• Long Term Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; 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.