Active NPI
Veterans Health Administration
- Long Term Care Hospital
- Lake City, FL
National Provider Identifier
1457521809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- RN3379972
- Legal business name
- VETERANS HEALTH ADMINISTRATION
- Practice address
- 619 S Marion Ave
Lake City, FL 32025-5808 - Phone
- (386) 755-3016
- NPI assigned
- Mar 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Sweitzer
- Title
- Chief of Nursing
- Phone
- (386) 755-3016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | RN3379972 | FL | Primary |
Addresses
Primary practice location
619 S Marion Ave
Lake City, FL 32025-5808
Mailing address
619 S Marion Ave
Lake City, FL 32025-5808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204329600000",
"number": "1457521809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S MARION AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S MARION AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255808",
"telephone_number": "386-755-3016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS HEALTH ADMINISTRATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-01",
"last_updated": "2008-03-01",
"status": "A",
"authorized_official_last_name": "SWEITZER",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CHIEF OF NURSING",
"authorized_official_telephone_number": "386-755-3016"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "FL",
"license": "RN3379972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.