Active NPI
Kevin Steve Vargas
- Adult Companion
- Kissimmee, FL
National Provider Identifier
1699478818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 239239
- Practice address
- 4416 Azure Isle Way
Kissimmee, FL 34744-9600 - Phone
- (772) 333-6774
- NPI assigned
- Mar 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 239239 | FL | Primary |
Addresses
Primary practice location
4416 Azure Isle Way
Kissimmee, FL 34744-9600
Mailing address
4416 Azure Isle Way
Kissimmee, FL 34744-9600
Phone (772) 333-6774
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 |
|---|---|---|---|
| 239239 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1699478818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 AZURE ISLE WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449600",
"telephone_number": "772-333-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4416 AZURE ISLE WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449600",
"telephone_number": "772-333-6774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "KEVIN",
"middle_name": "STEVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "239239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.