Individual provider Active NPI

Vola Harivony Le Roux, NP

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1710422399
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003171 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 402
Daytona Beach, FL 32117-5169
Phone
(386) 231-3525
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60980669 WA
Nurse Practitioner 363L00000X AP60981182 WA
Family Nurse Practitioner 363LF0000X AP132489 TX
Family Nurse Practitioner 363LF0000X APRN11003171 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 402
Daytona Beach, FL 32117-5169

Mailing address

1213 24TH St
Ste 100
Anacortes, WA 98221-2595
Phone (361) 694-1498

Other practice location 1

1660 S Staples St
Ste 160
Corpus Christi, TX 78404-3173
Phone (361) 694-1498

Other practice location 2

1213 24TH St
Ste 100
Anacortes, WA 98221-2595
Phone (602) 933-1013

Other identifiers 1

IdentifierTypeStateIssuer
555246YLPSOtherTXWELLMED PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000195 FL Practitioner - Nurse Practitioner 2668755984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1500 Beville Rd
Suite 502
Daytona Beach, FL 32114-5616
Phone (386) 231-4690

305 Memorial Medical Pkwy
Daytona Beach, FL 32117-5169

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11003171FLMDFamily Nurse Practitioner
AP132489TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 1, 2023 Accepting new patients
Thomas-Spann Clinic, P.a. Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

305 Memorial Medical Pkwy
Ste 402
Daytona Beach, FL 32117
Phone (386) 231-3525

Interoperability endpoints

  • Direct secure messaging: vleroux423527@adventhealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1710422399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "STE 100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "361-694-1498",
            "fax_number": "361-694-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 402",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-231-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 S Staples St",
            "address_2": "Ste 160",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784043173",
            "country_code": "US",
            "telephone_number": "361-694-1498",
            "fax_number": "361-694-1499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 24TH ST",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "country_code": "US",
            "telephone_number": "602-933-1013",
            "fax_number": "360-299-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE ROUX",
        "first_name": "VOLA",
        "middle_name": "HARIVONY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60980669",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60981182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "555246YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.