Active NPI
Nancy Ann Vail, LMT
- Contractor
- St Augustine, FL
National Provider Identifier
1912213992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA 4534
- Practice address
- 208 Southpark Cir E
St Augustine, FL 32086-5135 - Phone
- (904) 501-1271
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 4534 | FL | Primary |
Addresses
Primary practice location
208 Southpark Cir E
St Augustine, FL 32086-5135
Mailing address
208 Southpark Cir E
St Augustine, FL 32086-5135
Phone (904) 501-1271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C5055 | Other | FL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 4534 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1912213992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865135",
"telephone_number": "904-501-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865135",
"telephone_number": "904-501-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIL",
"first_name": "NANCY",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "MA 4534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "C5055",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.