Active NPI
Jennifer Vigeant, LPN
- Licensed Practical Nurse
- Lewiston, ID
National Provider Identifier
1104634856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 13419
- Practice address
- 504 Main St Ste 422
Lewiston, ID 83501-1869 - Phone
- (509) 295-6044
- NPI assigned
- Dec 27, 2024
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 13419 | ID | Primary |
Addresses
Primary practice location
504 Main St Ste 422
Lewiston, ID 83501-1869
Mailing address
504 Main St Ste 422
Lewiston, ID 83501-1869
Phone (509) 295-6044
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13419 | ID | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1104634856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MAIN ST STE 422",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011869",
"telephone_number": "509-295-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MAIN ST STE 422",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011869",
"telephone_number": "509-295-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGEANT",
"first_name": "JENNIFER",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "ID",
"license": "13419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.