Individual provider Active NPI

Gwana Tory

  • Case Manager/Care Coordinator
  • Vero Beach, FL
National Provider Identifier
1548662430
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
755 27TH Ave SW Ste 9&10
Vero Beach, FL 32968-4200
Phone
(772) 257-5264
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

755 27TH Ave SW Ste 9&10
Vero Beach, FL 32968-4200

Mailing address

2680 68TH SQ Apt 202
Vero Beach, FL 32966-8915
Phone (772) 643-5276

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1548662430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 68TH SQ APT 202",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329668915",
            "telephone_number": "772-643-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 27TH AVE SW STE 9&10",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684200",
            "telephone_number": "772-257-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORY",
        "first_name": "GWANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.