NPIMap

Organization Active NPI

Tampa Vamc

  • VA Clinic/Center
  • Brooksville, FL
National Provider Identifier
1437100179
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
TAMPA VAMC
Practice address
14540 Cortez Blvd
Suite 108
Brooksville, FL 34613-6056
Phone
(866) 793-4591
NPI assigned
May 15, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Erin Potter
Title
Npi Team
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

14540 Cortez Blvd
Suite 108
Brooksville, FL 34613-6056

Mailing address

PO Box 94470
Cleveland, OH 44101-4470
Phone (866) 793-4591

Other names 1

  • Brooksville VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Tampa Vamc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

14540 Cortez Blvd
Ste 108
Brooksville, FL 34613
Phone (352) 597-8287

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1437100179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94470",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014470",
            "telephone_number": "866-793-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 108",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "866-793-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooksville VA CBOC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brooksville VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.