Josefina Cynthia Vandiver

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

000000000000 Issued in OK

Practice address

1395 Jungermann Rd
Saint Peters, MO 63376-7369

Phone

(636) 485-7606

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972341345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 E 390 RD",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740163028",
            "telephone_number": "918-541-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767369",
            "telephone_number": "636-485-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "JOSEFINA",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usv Optical Inc.
• Ewa Vaizers, FNP-C
• Armon Meissami Vakil, PHARMD
• Sophia Vandeloecht, OTD, OTR/L
• April Vandiver, LPC
• Vanessa K. King DC, PC
• Robert Ellis Vangilder Jr., O.D.
• Anandhalakshmi Varadharajan, MD
• Christopher C Vassel, MAMFT, LMFT
• Vijaya Nattuvetty Vasudevan, M.D.

• Physical Medicine & Rehabilitation Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.