Active NPI
Vanita Mahan, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Wesley Chapel, FL
National Provider Identifier
1922017540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP1655502
- Practice address
- 2824 Windguard Cir
Suite 101
Wesley Chapel, FL 33544-7369 - Phone
- (813) 731-2966
- Fax
- (352) 567-5193
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP1655502 | FL | Primary |
Addresses
Primary practice location
2824 Windguard Cir
Suite 101
Wesley Chapel, FL 33544-7369
Mailing address
2824 Windguard Cir
Suite 101
Wesley Chapel, FL 33544-7369
Phone (813) 731-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034242400 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1655502 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1922017540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 WINDGUARD CIR",
"address_2": "SUITE 101",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335447369",
"telephone_number": "813-731-2966",
"fax_number": "352-567-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 WINDGUARD CIR",
"address_2": "SUITE 101",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335447369",
"telephone_number": "813-731-2966",
"fax_number": "352-567-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "VANITA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP1655502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034242400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.