Individual provider Active NPI

Gladys V Vazquez-Cisneros, RN

  • Community Health Registered Nurse
  • Sebring, FL
National Provider Identifier
1861967978
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN9458138 Issued in FL
Practice address
7205 S George Blvd
Sebring, FL 33875-5847
Phone
(863) 386-6040
Fax
(863) 382-9482
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN9458138 FL Primary

Addresses

Primary practice location

7205 S George Blvd
Sebring, FL 33875-5847

Mailing address

9 S Hart Ave
Avon Park, FL 33825-3322
Phone (863) 449-1892

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9458138FLMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1861967978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S HART AVE",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253322",
            "telephone_number": "863-449-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 S GEORGE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755847",
            "telephone_number": "863-386-6040",
            "fax_number": "863-382-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-CISNEROS",
        "first_name": "GLADYS",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9458138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.