Department of Vetrans Affairs

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

229833 Issued in FL

Legal business name

DEPARTMENT OF VETRANS AFFAIRS

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 548-6000

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Natasha Nelson

Title

Certified Nurse

Phone

(386) 518-5290

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1366848087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15164 NW 150TH AVE",
            "address_2": "APT.3057",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155540",
            "telephone_number": "386-518-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-548-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETRANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CERTIFIED NURSE",
        "authorized_official_telephone_number": "386-518-5290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "229833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26492528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Denson, PA-C
• Scott K Denton, DDS
• B. Kay Depalma, RN
• Department of Pathology, Immunology and Laboratory Medicine
• Department of Veteran Affairs
• Brunilda G Depaz, MA
• Oscar B Depaz, MD
• Dept of Veterans Affairs
• Dept of Veterans Affairs
• Taraneh Derakhshan

• Skilled Nursing Facility in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.