Organization Active NPI

V&R Rejuvenation Drip Bar LLC

  • Family Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1710654413
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
V&R REJUVENATION DRIP BAR LLC
Practice address
1119 Iola Dr
Chipley, FL 32428-6302
Phone
(850) 260-2684
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Rhondalynn Tolbert, NPNPI 1407413339
Title
Nurse Practitioner, Co-Owner
Phone
(850) 260-2684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1119 Iola Dr
Chipley, FL 32428-6302

Mailing address

1119 Iola Dr
Chipley, FL 32428-6302
Phone (850) 260-2684

National Provider Directory

National Provider Directory

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": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1710654413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 IOLA DR",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286302",
            "telephone_number": "850-260-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 IOLA DR",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286302",
            "telephone_number": "850-260-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V&R REJUVENATION DRIP BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "RHONDALYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, CO-OWNER",
        "authorized_official_telephone_number": "850-260-2684",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.