Individual provider Active NPI

Barbara Ann Vodvarka, RN-CS,MSN,FNP-C

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1639105687
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
L0264 Issued in DE
Practice address
1275 S State St
Bayhealth Medical Center - Occupational Health
Dover, DE 19901-6927
Phone
(302) 678-1303
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X L0264 DE Primary

Addresses

Primary practice location

1275 S State St
Bayhealth Medical Center - Occupational Health
Dover, DE 19901-6927

Mailing address

344 Everetts Corner Rd
Hartly, DE 19953-3433
Phone (302) 492-0425

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L0264DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Maturity Center PastSince Jan 15, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1639105687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 EVERETTS CORNER RD",
            "city": "HARTLY",
            "state": "DE",
            "postal_code": "199533433",
            "telephone_number": "302-492-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S STATE ST",
            "address_2": "BAYHEALTH MEDICAL CENTER - OCCUPATIONAL HEALTH",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016927",
            "telephone_number": "302-678-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODVARKA",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN-CS,MSN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "L0264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.