Individual provider Active NPI

Vinayal Joseph

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1952801649
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9253749 Issued in FL
Practice address
1030 S 78TH St
Tampa, FL 33619-4750
Phone
(813) 740-0646
Fax
(813) 849-0894
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9253749 FL Primary

Addresses

Primary practice location

1030 S 78TH St
Tampa, FL 33619-4750

Mailing address

6405 Foxbury Ridge LN
Riverview, FL 33578-8663
Phone (813) 444-6308

Other practice location 1

6405 Foxbury Ridge Ln
Riverview, FL 33578-8663
Phone (813) 444-6308

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190927002513 FL Practitioner - Nurse Practitioner 7012247430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9253749FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix American Medical LLC CurrentSince Aug 10, 2019 Accepting new patients
Sugarmill Health Care, LLC Past Accepting new patients
All American Urgent Care LLC Past Accepting new patients

Locations

1401 S US Highway 1
Ste 1423
Fort Pierce, FL 34950
Phone (772) 788-2120

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

1030 S 78th St
Tampa, FL 33619
Phone (813) 740-0635

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCACBD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1952801649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 FOXBURY RIDGE LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788663",
            "telephone_number": "813-444-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S 78TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194750",
            "telephone_number": "813-740-0646",
            "fax_number": "813-849-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Foxbury Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335788663",
            "country_code": "US",
            "telephone_number": "813-444-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "VINAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9253749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.