Vivian Justiniano

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1975 S John Young Pkwy
Suite 203a
Kissimmee, FL 34741-0603

Phone

(321) 236-1540

Fax

(321) 594-6096

NPI assigned

Aug 20, 2014

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

Practice roles

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.

• Serving Children and Reaching Families

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1336588813
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1629477195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 CROCUS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256707",
            "telephone_number": "407-801-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY",
            "address_2": "SUITE 203A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410603",
            "telephone_number": "321-236-1540",
            "fax_number": "321-594-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANO",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30458374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Just Breath Sleep Dentistry LLC
• Jorge Enrique Justicia Ferrer, MD
• Natalia Raquel Justiniano Garcia, CF-SLP
• Justin Justiniano, RBT
• Madison Marie-Aglae Justiniano, RBT
• K&R Care
• Christina Jeanine Kahn, MD
• Vanessa Kahn, LMT
• Kairos Home Care Services, LLC
• Kairos Home Care Services, LLC

• Social Worker in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.