Valli Jo Flynn, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN230378 Issued in MA

Practice address

1900 27TH St
Vero Beach, FL 32960-3383

Phone

(772) 794-7402

Fax

(772) 562-6789

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Doral, FL
  • NPI 1154097491
  NPD (past)
• Excella Home Health Agency, LLC

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1306485396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603383",
            "telephone_number": "772-794-7402",
            "fax_number": "772-562-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603383",
            "telephone_number": "772-794-7402",
            "fax_number": "772-562-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Park Ave",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010893337",
            "country_code": "US",
            "telephone_number": "413-998-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "VALLI JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN230378",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "11002027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11002027",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Physical Therapy & Occupational Therapy LLC
• Florida Respiratory-St Lucie Inc
• Florida Senior Care Services, LLC
• Florida Woman Care of Indian River County, LLC
• Sharon Flowers McKenzie
• Amy Elizabeth Fodor, LCSW
• Angelo A Fodor, PHARMD
• Andrea Jean Folds, MD
• Yehsica Rasheni Folkerds, RBT
• Tomas Fernando Fonseca, B.S

• Nurse Practitioner in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.