VA
NPI 1538679576
Licensed Practical Nurse in Gainesville, FL
NPI Status: Active since October 04, 2017
Contact Information
1601 S.W. ARCHER ROAD
GAINESVILLE, FL
ZIP 32608
Phone: (352) 376-1611
- Organization
- Licensed Practical Nurse
- CLIA Number: 10D2005941
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About VA
This page provides the complete NPI Profile along with additional information for Va, a provider established in Gainesville, Florida operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1538679576 assigned on October 2017. The practitioner's primary taxonomy code is 164W00000X with license number PN5148178 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Thomas Richard Obrien Lpn (Lpn)
- NPI
- 1538679576
- Provider Name
- VA
- Entity Type
- Organization
- Location Address
- 1601 S.W. ARCHER ROAD GAINESVILLE, FL 32608
- Location Phone
- (352) 376-1611
- Mailing Address
- 1601 S.W. ARCHER ROAD GAINESVILLE, FL 32608
- Mailing Phone
- (352) 376-1611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2017
- Last Update Date
- 10-04-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- PN5148178
- License State
- FL
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2005941
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 08, 2010
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- BYRON P. CROKER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Va on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1538679576, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
GAINESVILLE, FL 32608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538679576, enumerated as an "organization" on October 04, 2017.
The provider is located at 1601 S.W. ARCHER ROAD GAINESVILLE, FL 32608 and the phone number is (352) 376-1611.
Licensed Practical Nurse with taxonomy code 164W00000X.
