Josephine Vivelo

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

12464 Fairway Ave
Brooksville, FL 34613-2608

Phone

(352) 442-4161

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1669137980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12464 FAIRWAY AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132608",
            "telephone_number": "352-442-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12464 FAIRWAY AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132608",
            "telephone_number": "352-442-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVELO",
        "first_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Brooksville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Brooksville",
            "address_1": "12464 Fairway Ave",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346132608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Vines
• Virtual Physician Services Corp
• Vision Specialty Associates, P.a. (Vision Specialty Assoc., P.a. #09)
• Visionworks, Inc (Visionworks)
• Vitreo Retinal Surgeons LLC
• Sofia J Vogt
• Alexis Leigh Vojvodic
• W4P LLC (Hernando County Emergency Physicians)
• Abubakr Saleem Waheed, DO
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1213)

• Home Health Aide in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.