Vizer Health LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIZER HEALTH LLC

Practice address

188 S Pike E
Sumter, SC 29150-2131

Phone

(914) 359-7442

NPI assigned

Nov 13, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Dianne Billie Jackson, NPNPI 1588293278

Title

Co-Owner

Phone

(914) 359-7442

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Dianne Billie Jackson, AGNP-C

  • Community Health Clinic/Center
  • Sumter, SC
  • NPI 1588293278

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1780340752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510141",
            "telephone_number": "914-359-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S PIKE E",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502131",
            "telephone_number": "914-359-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANNE BILLIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "914-359-7442",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "23707",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kim.jackson@vizerhealth.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Csv",
            "address_1": "188 S Pike E",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291502131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doreen Velazquez
• Joseph Borromeo Villanueva, M.D.
• Thaddeus Houck Vincent Jr., D.M.D.
• Monica Jill Vinson Velazquez, FNP-C
• Virtuous Hospice, LLC
• Christina Brock Voeun, PHARMD
• Anand Vora, PHARMD
• Meghan K Wachter, PMHNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Clinical Medical Laboratory in Sumter, SC
• Providers in Sumter, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.