Active NPI
Qwikcare Inc
- Family Nurse Practitioner
- Bunnell, FL
National Provider Identifier
1578991782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9265125
- Legal business name
- QWIKCARE INC
- Practice address
- 4721 E Moody Blvd
Suite 204
Bunnell, FL 32110-7705 - Phone
- (386) 864-0791
- NPI assigned
- Oct 25, 2013
- 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
- Venus Valliere, ARNP
- Title
- President
- Phone
- (386) 864-0791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9265125 | FL | Primary |
Addresses
Primary practice location
4721 E Moody Blvd
Suite 204
Bunnell, FL 32110-7705
Mailing address
4721 E Moody Blvd
Suite 204
Bunnell, FL 32110-7705
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1578991782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 E MOODY BLVD",
"address_2": "SUITE 204",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321107705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 E MOODY BLVD",
"address_2": "SUITE 204",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321107705",
"telephone_number": "386-864-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QWIKCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-25",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "VALLIERE",
"authorized_official_first_name": "VENUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-864-0791",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9265125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.