Organization Active NPI

Vista Insurance Plan, Inc.

  • Health Maintenance Organization
  • Hollywood, FL
National Provider Identifier
1811917123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
VISTA INSURANCE PLAN, INC.
Practice address
300 S Park Rd
Hollywood, FL 33021-8593
Phone
(800) 447-5116
Fax
(954) 986-6082
NPI assigned
Jul 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Darcey A. Gartner, CHC
Title
Vice President of Compliance
Phone
(954) 965-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

300 S Park Rd
Hollywood, FL 33021-8593

Mailing address

300 S Park Rd
Hollywood, FL 33021-8593
Phone (800) 447-5116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811917123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218593",
            "telephone_number": "800-447-5116",
            "fax_number": "954-986-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218593",
            "telephone_number": "800-447-5116",
            "fax_number": "954-986-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA INSURANCE PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "DARCEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF COMPLIANCE",
        "authorized_official_telephone_number": "954-965-3118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.