Individual provider Active NPI

Vanessa Aumoithe Nicholson, APRN, RN

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1922659119
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11002573 Issued in FL
Practice address
10156 NW 4TH St
Plantation, FL 33324-7052
Phone
(305) 647-8987
NPI assigned
Sep 27, 2019
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11002573 FL Primary
Gerontology Nurse Practitioner 363LG0600X APRN11002573 FL
Registered Nurse 163W00000X RN9304622 FL

Addresses

Primary practice location

10156 NW 4TH St
Plantation, FL 33324-7052

Mailing address

10156 NW 4TH St
Plantation, FL 33324-7052
Phone (305) 647-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9304622FLMDRegistered Nurse
APRN11002573FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Jan 5, 2025 Accepting new patients
Rmed LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1922659119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10156 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247052",
            "telephone_number": "305-647-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247052",
            "telephone_number": "305-647-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUMOITHE NICHOLSON",
        "first_name": "VANESSA",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11002573",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11002573",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9304622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.