Vibha Thacker, MBA

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

231712 Issued in FL

Practice address

105 S Riverside Dr
403
Pompano Beach, FL 33062-5500

Phone

(954) 317-0082

Fax

(954) 317-0083

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1336460070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "403",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625500",
            "telephone_number": "954-317-0082",
            "fax_number": "954-317-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "403",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625500",
            "telephone_number": "954-317-0082",
            "fax_number": "954-317-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "VIBHA",
        "name_prefix": "Ms.",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "231712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Companion in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.