Individual provider Active NPI

Vicki Diane Lachman, PHD, APRN, MBE

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Longboat Key, FL
National Provider Identifier
1639315732
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
APRN11007219 Issued in FL
Practice address
3810 Gulf of Mexico Dr # F107
Longboat Key, FL 34228-2740
Phone
(941) 238-0266
Fax
(941) 244-5505
NPI assigned
Dec 20, 2008
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007219 FL
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN163230L PA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN11007219 FL Primary

Addresses

Primary practice location

3810 Gulf of Mexico Dr # F107
Longboat Key, FL 34228-2740

Mailing address

5380 Gulf of Mexico Dr Ste 105
Longboat Key, FL 34228-2048
Phone (941) 238-0266

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APRN11007219FLMDAdult Psychiatric/Mental Health Clinical Nurse Specialist
RN163230LPAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper University Hospital Cape Regional Inc PastSince Jul 1, 2013 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1639315732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 GULF OF MEXICO DR STE 105",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342282048",
            "telephone_number": "941-238-0266",
            "fax_number": "941-244-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 GULF OF MEXICO DR # F107",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342282740",
            "telephone_number": "941-238-0266",
            "fax_number": "941-244-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHMAN",
        "first_name": "VICKI",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, MBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-20",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007219",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN163230L",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "APRN11007219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longboat Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.