Active NPI
Sara Lynn Furman-Vandyke, RBT
- Behavior Technician
- Stuart, FL
National Provider Identifier
1720626567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 16-15797
- Practice address
- 821 SE Ocean Blvd
Stuart, FL 34994-2456 - Phone
- (407) 947-4675
- Fax
- (772) 209-6900
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 16-15797 | FL | Primary |
Addresses
Primary practice location
821 SE Ocean Blvd
Stuart, FL 34994-2456
Mailing address
3344 NE Sandra Dr
Jensen Beach, FL 34957-3972
Phone (407) 947-4675
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 |
|---|---|---|---|
| 16-15797 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Vendette, LLC | 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.
-
- Community/Behavioral Health Agency
- Port Saint Lucie, FL
- NPI 1093298564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1720626567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3344 NE SANDRA DR",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573972",
"telephone_number": "407-947-4675",
"fax_number": "772-209-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349942456",
"telephone_number": "407-947-4675",
"fax_number": "772-209-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURMAN-VANDYKE",
"first_name": "SARA",
"middle_name": "LYNN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "16-15797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.