Active NPI
Valerie L Larubbio
- Lodging Provider
- Port Orange, FL
National Provider Identifier
1407023948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- 09-07-36-04
- Practice address
- 4568 Phipps Dr
Port Orange, FL 32129-3678 - Phone
- (386) 788-9243
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 09-07-36-04 | FL | Primary |
Addresses
Primary practice location
4568 Phipps Dr
Port Orange, FL 32129-3678
Mailing address
4568 Phipps Dr
Port Orange, FL 32129-3678
Phone (386) 788-9243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230371000 | Medicaid | FL |
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": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1407023948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4568 PHIPPS DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293678",
"telephone_number": "386-788-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 PHIPPS DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293678",
"telephone_number": "386-788-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARUBBIO",
"first_name": "VALERIE",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "FL",
"license": "09-07-36-04",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230371000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.