Active NPI
Vanessa Vergara, ARNP
- Family Nurse Practitioner
- North Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9319705
- Practice address
- 6971 SW 19TH St
North Lauderdale, FL 33068-4816 - Phone
- (954) 857-7787
- NPI assigned
- Nov 23, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9319705 | FL | Primary |
Addresses
Primary practice location
6971 SW 19TH St
North Lauderdale, FL 33068-4816
Mailing address
12474 Shore View Dr
Firestone, CO 80504-8214
Phone (954) 857-7787
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125000235 | FL | Practitioner - Nurse Practitioner | 1850674276 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Miami, LM Miller School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ez Health Medical Group PA
Practice addresses (Care Compare)
1801 NE 123Rd St
Suite 314
North Miami, FL 33181-2883
Phone (385) 327-2541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9319705 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners Colorado, PC | Nurse Practitioner | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Nurse Practitioner | Current | Accepting new patients |
| Clinica Colorado | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Nurse Practitioner | Current | Accepting new patients |
| Ez Health Medical Group PA | Current | Accepting new patients |
Locations
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- https://api.platform.athenahealth.com/19093/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/24370/brand/1/csg/1/fhir/r4
- vanessa.vergara.1@24370.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Westminster, CO
- NPI 1083908024
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
Nurse Practitioner
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
Nurse Practitioner
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1780127720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12474 SHORE VIEW DR",
"city": "FIRESTONE",
"state": "CO",
"postal_code": "805048214",
"telephone_number": "954-857-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6971 SW 19TH ST",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330684816",
"telephone_number": "954-857-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "VANESSA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-23",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9319705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.