Vivian Lee Jones

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTA8023 Issued in FL

Practice address

19238 County Road 49
O Brien, FL 32071-3426

Phone

(386) 292-3262

NPI assigned

Mar 3, 2011

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Vivian Lee Richardson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1548568348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19238 COUNTY ROAD 49",
            "city": "OBRIEN",
            "state": "FL",
            "postal_code": "32071",
            "telephone_number": "386-292-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19238 COUNTY ROAD 49",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320713426",
            "telephone_number": "386-292-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "VIVIAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OTA8023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "RICHARDSON",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "OCCUPATIONAL THERAPY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in O Brien, FL
• Providers in O Brien, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.