Active NPI
Vaughn Anderson
- Home Health Aide
- Valrico, FL
National Provider Identifier
1346998994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1842 S Ridge Dr
Valrico, FL 33594-5547 - Phone
- (813) 460-2621
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
1842 S Ridge Dr
Valrico, FL 33594-5547
Mailing address
1842 S Ridge Dr
Valrico, FL 33594-5547
Phone (813) 460-2621
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://vollara.com/vaughnanderson | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1346998994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 S RIDGE DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335945547",
"telephone_number": "813-460-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 S RIDGE DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335945547",
"telephone_number": "813-460-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "VAUGHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://vollara.com/vaughnanderson",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1842 S Ridge Dr",
"city": "Valrico",
"state": "FL",
"country_code": "US",
"postal_code": "335945547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.