Kathleen A Vacchelli, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP3368292 Issued in FL

Practice address

50 Leanni Way Unit B3
Palm Coast, FL 32137-4754

Phone

(386) 446-5494

Fax

(386) 447-1357

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mobile Visiting Practitioners, LLC

  • Primary Care Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1265915359
  NPD
• Yorkshire Mental Health Enterprises PA

  • Psychiatry Physician
  • Ormond Beach, FL
  • NPI 1003821497

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1376566729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374754",
            "telephone_number": "386-446-5494",
            "fax_number": "386-447-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374754",
            "telephone_number": "386-446-5494",
            "fax_number": "386-447-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCHELLI",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3368292",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "FL3368292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300849501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upperline Healthcare, PC
• Upperline Healthcare, PC
• Upperline Healthcare, PC
• Muhammad Ikramullah Usmani, MD
• Ascha Utter
• LC Vail, COTA/L
• Savannah Valentin
• Julie Ann Valentine, AGPCNP-BC
• Venus M. Valliere, ARNP BC
• Anna S Valvo Schnotalla, RBT

• Psychiatric/Mental Health Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.