NPIMap

Organization Active NPI

Malcolm Randall Vamc

  • Clinic/Center
  • Gainesville, FL
National Provider Identifier
1972767333
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1187232 Issued in FL
Legal business name
MALCOLM RANDALL VAMC
Practice address
5415 SW 64TH Street
Gainesville, FL 32608-2116
Phone
(352) 338-4900
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Karen Lee Morris, ARNP
Title
Comp and Pen Examiner
Phone
(352) 338-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1187232 FL Primary

Addresses

Primary practice location

5415 SW 64TH Street
Gainesville, FL 32608-2116

Mailing address

2601 SW 69TH Ter
Gainesville, FL 32608-2116
Phone (352) 332-6494

National Provider Directory

National Provider Directory

Locations

5415 SW 64th St
Gainesville, FL 32608
Phone (352) 338-4900

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1972767333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 69TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082116",
            "telephone_number": "352-332-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SW 64TH STREET",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082116",
            "telephone_number": "352-338-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM RANDALL VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COMP AND PEN EXAMINER",
        "authorized_official_telephone_number": "352-338-4900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "1187232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.