Active NPI
Vicky Susan Schwartz, APRN
- Adult Health Nurse Practitioner
- Crestview, FL
National Provider Identifier
1730578055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9314175
- Practice address
- 6025 Fiori Dr
Crestview, FL 32539-9522 - Phone
- (850) 358-0092
- NPI assigned
- Jan 12, 2015
- Last updated
- Oct 17, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1513 | AK | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9314175 | FL | Primary |
| Registered Nurse | 163W00000X | RN9314175 | FL | |
| Registered Nurse | 163W00000X | 37289 | AK |
Addresses
Primary practice location
6025 Fiori Dr
Crestview, FL 32539-9522
Mailing address
6025 Fiori Dr
Crestview, FL 32539-9522
Phone (850) 358-0092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37289 | AK | MD | Registered Nurse |
| RN9314175 | FL | MD | Registered Nurse |
| 1513 | AK | MD | Adult Health Nurse Practitioner |
| APRN9314175 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1730578055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 FIORI DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399522",
"telephone_number": "850-358-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 FIORI DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399522",
"telephone_number": "850-358-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "VICKY",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AK",
"license": "1513",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9314175",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9314175",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "37289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.