NPIMap

Organization Active NPI

Lucille a Vandevere, LLC

Doing business as Healthcare Services

  • Health Service Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1649466384
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ARNP3283142 Issued in FL
Legal business name
LUCILLE A VANDEVERE, LLC
Doing business as
Healthcare Services
Practice address
6989 Hancock Dr
Port St Lucie, FL 34952-8207
Phone
(772) 252-4130
Fax
(772) 672-4089
NPI assigned
Sep 17, 2007
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Lucille Ann Vandevere, ARNPNPI 1174577365
Title
Nurse Practitioner
Phone
(772) 252-4130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ARNP3283142 FL Primary

Addresses

Primary practice location

6989 Hancock Dr
Port St Lucie, FL 34952-8207

Mailing address

PO Box 13300
Fort Pierce, FL 34979-3300
Phone (772) 252-4130

Other names 1

  • Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

1500 36th St
Ste B
Vero Beach, FL 32960
Phone (407) 778-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1649466384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13300",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349793300",
            "telephone_number": "772-252-4130",
            "fax_number": "772-672-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6989 HANCOCK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528207",
            "telephone_number": "772-252-4130",
            "fax_number": "772-672-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE A VANDEVERE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "VANDEVERE",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "772-252-4130",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP3283142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.