Lucille Versailles, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

142526 Issued in CA

Practice address

2161 W. 25TH Street
#34
San Pedro, CA 90732-4135

Phone

(310) 547-1574

NPI assigned

Jul 6, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1023320140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 W. 25TH STREET",
            "address_2": "#34",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 W. 25TH STREET",
            "address_2": "#34",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324135",
            "telephone_number": "310-547-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSAILLES",
        "first_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "142526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Lynn Venegas
• Melani Veran-de Los Reyes, APRN
• Jill Vermeire, M.F.T.
• Roger Vermont Zelaya
• Arlene Marie Vernon, M.D.
• Victoria a. Shook, D.D.S., a Professional Corp.
• Nohea L Villanueva, M.D.
• Christina Margarita Villasenor, MS, OTR/L
• Randeep Vinepal, M.A.
• Vital Health Med Group Inc

• Licensed Vocational Nurse in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.