Lida Cornelia Vangeest

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

310946 Issued in CA

Practice address

22161 N 6TH St
Castro Valley, CA 94546-7038

Phone

(971) 344-1424

NPI assigned

Aug 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lida Cornelia Green Former name

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": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1003064296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22161 N 6TH ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945467038",
            "telephone_number": "971-344-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22161 N 6TH ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945467038",
            "telephone_number": "971-344-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEEST",
        "first_name": "LIDA",
        "middle_name": "CORNELIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-31",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "310946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDA",
            "last_name": "GREEN",
            "middle_name": "CORNELIA",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susie Valle, LMFT
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• Karen A Van Zino, M.D.
• Carole L Vanderbilt, M.S.
• Francisco Vargas
• Molly Anne Vasquez
• Jeremiah Vaughan
• Aditya Vinay Vaze, MD
• Suman Pinnamaneni Veeragandham, M.D.

• All providers in Castro Valley, CA
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.