Active NPI
Sandra Jannell Vierday Quartararo, LMT
- Specialist
- Tampa, FL
National Provider Identifier
1659552826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA33866
- Practice address
- 9953 W Hillsborough Ave
Tampa, FL 33615-3004 - Phone
- (813) 888-7880
- Fax
- (813) 889-9338
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA33866 | FL | Primary |
Addresses
Primary practice location
9953 W Hillsborough Ave
Tampa, FL 33615-3004
Mailing address
9953 W Hillsborough Ave
Tampa, FL 33615-3004
Phone (813) 888-7880
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA33866 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition and Wellness Center | Specialist | Past | 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": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1659552826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9953 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153004",
"telephone_number": "813-888-7880",
"fax_number": "813-889-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9953 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153004",
"telephone_number": "813-888-7880",
"fax_number": "813-889-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERDAY QUARTARARO",
"first_name": "SANDRA",
"middle_name": "JANNELL",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA33866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.