Individual provider Active NPI

Virginia Lorain Quandt, ANP, FNP, DNP

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1982801536
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857963 Issued in MS
Practice address
1202 Broad Ave
Gulfport, MS 39501-2426
Phone
(228) 864-7631
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R857963 MS Primary

Addresses

Primary practice location

1202 Broad Ave
Gulfport, MS 39501-2426

Mailing address

PO Box 3118
Gulfport, MS 39505-3118

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moriah Past Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Advanced Orthopedics, PLLC Past Accepting new patients

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1982801536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3118",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395053118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012426",
            "telephone_number": "228-864-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANDT",
        "first_name": "VIRGINIA",
        "middle_name": "LORAIN",
        "name_prefix": "Mrs.",
        "credential": "ANP, FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.