Individual provider Active NPI

Victoria Faith Lavender, DC

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1972218642
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14353 Issued in FL
Practice address
427 S Parsons Ave Ste 118
Brandon, FL 33511-5252
Phone
(813) 278-5040
Fax
(813) 856-5390
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14353 FL Primary

Addresses

Primary practice location

427 S Parsons Ave Ste 118
Brandon, FL 33511-5252

Mailing address

6258 Blakeford Dr
Windermere, FL 34786-5604
Phone (407) 713-1172

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlavender@complete-care.com Direct

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

State licenses

LicenseStateTypeSpecialty
CH14353FLMDChiropractor

Interoperability endpoints

  • Direct secure messaging: victoria.lavender@cccl.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1972218642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 BLAKEFORD DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865604",
            "telephone_number": "407-713-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S PARSONS AVE STE 118",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115252",
            "telephone_number": "813-278-5040",
            "fax_number": "813-856-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "VICTORIA",
        "middle_name": "FAITH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlavender@complete-care.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "427 S Parsons Ave Ste 118",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.