Vida Vodopalas-Puodziunas, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009499 Issued in IL

Practice address

1700 66TH St N Ste 304
St Petersburg, FL 33710-5500

Phone

(727) 550-0855

Fax

(727) 205-8159

NPI assigned

Jun 28, 2005

Reactivated

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Waters Edge Medical Clinic Tampa LLC

  • Multi-Specialty Clinic/Center
  • St Petersburg, FL
  • NPI 1265054803
  NPD Authorized official
• Healthy Connection Chiropractic & Rehabilitations

  • Chiropractor
  • Lockport, IL
  • NPI 1528074895
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1528064110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N STE 304",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105500",
            "telephone_number": "727-550-0855",
            "fax_number": "727-205-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N STE 304",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105500",
            "telephone_number": "727-550-0855",
            "fax_number": "727-205-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODOPALAS-PUODZIUNAS",
        "first_name": "VIDA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-24",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038009499",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Vlacich, AP
• VMD Primary Providers Central Florida PLLC
• VMD Primary Providers Central Florida PLLC
• Tai Tri Vo
• Michael Vocar
• Brittney Anne Volpe
• Volunteers of America of Florida, Inc
• Ernest C Von Harten IV, DO
• Nadja Von Malotki
• Edith V Vonweltin, LMHC, NCC

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.