Individual provider Active NPI

Deborah D Viglione, MD

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1922104777
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65188 Issued in FL
Practice address
103 Nightingale LN
Gulf Breeze, FL 32561-7205
Phone
(850) 934-8138
Fax
(850) 934-6667
NPI assigned
Sep 16, 2006
Last updated
Apr 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME65188 FL Primary

Addresses

Primary practice location

103 Nightingale LN
Gulf Breeze, FL 32561-7205

Mailing address

103 Nightingale LN
Gulf Breeze, FL 32561-7205
Phone (850) 934-8138

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL livingwaters103@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000799 FL Practitioner - Internal Medicine 7618198029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

103 Nightingale LN
Gulf Breeze, FL 32561-4300
Phone (850) 934-8138

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65188FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: deborah.viglione.1@16101.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1922104777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617205",
            "telephone_number": "850-934-8138",
            "fax_number": "850-934-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617205",
            "telephone_number": "850-934-8138",
            "fax_number": "850-934-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIONE",
        "first_name": "DEBORAH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "livingwaters103@yahoo.com",
            "affiliation": "N",
            "address_1": "103 Nightingale Ln",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325617205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.