Active NPI
Virginia Lorain Quandt, ANP, FNP, DNP
- Family Nurse Practitioner
- Gulfport, MS
National Provider Identifier
1982801536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R857963
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Specialist
- Gulfport, MS
- NPI 1568410058
-
- Specialist
- Gulfport, MS
- NPI 1003958117
-
- Ambulance
- Wiggins, MS
- NPI 1003073057
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.