Victoria Lee Konradson, LPN DM

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

080011712LPN Issued in OR

Practice address

3221 SW 45TH St
Redmond, OR 97756-9519

Phone

(541) 390-2999

NPI assigned

Jun 14, 2007

Last updated

Aug 15, 2012By the provider in NPPES

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 identifiers 1

Other names 1

• Mrs. Brenda Lee Shea 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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1063617694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "address_2": "HEART N HANDS MIDWIFERY",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560087",
            "telephone_number": "541-390-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 SW 45TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569519",
            "telephone_number": "541-390-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRADSON",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPN DM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "080011712LPN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF MASSAGE THERAPISTS",
            "identifier": "18235",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "SHEA",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "LPN DM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiny Knocker, FNP
• Andrew Knox, PT COMT CSCS
• Suzanne Knox, PT, CSCS
• Chad Koenig, LCSW
• Brigid Koeppen, LCSW
• Jody Lynn Korepta, SPEECH THERAPIST
• Aubrey T Koski, AG-PCNP
• Joseph Kozlowski, MSPT
• David Krawski, DMD
• Randall Scott Krieger, LPC, MA, MDIV.

• Licensed Practical Nurse in Redmond, OR
• Providers in Redmond, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.