Active NPI
Yevgeniy Vugman, RN
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1972125342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9414930
- Practice address
- 1350 13TH Ave S
Jacksonville, FL 32250-3203 - Phone
- (904) 713-3704
- NPI assigned
- May 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9414930 | FL | Primary |
Addresses
Primary practice location
1350 13TH Ave S
Jacksonville, FL 32250-3203
Mailing address
3003 Yanlee LN
Jacksonville, FL 32223-7240
Phone (904) 713-3704
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eugene.vugman@gmail.com |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9414930 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1972125342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 YANLEE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322237240",
"telephone_number": "904-713-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 13TH AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503203",
"telephone_number": "904-713-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUGMAN",
"first_name": "YEVGENIY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9414930",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eugene.vugman@gmail.com",
"affiliation": "N",
"endpointDescription": "My Email",
"address_1": "1350 13th Ave S",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322503203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.