Vedra

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

VEDRA

Practice address

100 Green LN Ste 4
Bristol, PA 19007-5609

Phone

(888) 710-2420

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Sandra RoachNPI 1659138816

Title

Owner

Phone

(888) 710-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Roach

  • Other Specialist/Technologist
  • Bristol, PA
  • NPI 1659138816

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1821855081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREEN LN STE 4",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190075609",
            "telephone_number": "888-710-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREEN LN STE 4",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190075609",
            "telephone_number": "888-710-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-710-2420"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Bristol, PA
• Providers in Bristol, PA by specialty
• Other Specialist/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.