Active NPI
Sarndra Gaye Dries, LVN
- Licensed Vocational Nurse
- Vista, CA
National Provider Identifier
1104984475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN213705
- Practice address
- 444 Avalon Dr
Vista, CA 92084-6210 - Phone
- (760) 271-5543
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Vocational Nurse | 164X00000X | VN213705 | CA | Primary |
Addresses
Primary practice location
444 Avalon Dr
Vista, CA 92084-6210
Mailing address
1782 Troy LN
Oceanside, CA 92054-5648
Phone (760) 439-7404
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 |
|---|---|---|---|
| VN213705 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104984475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1782 TROY LN",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545648",
"telephone_number": "760-439-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 AVALON DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920846210",
"telephone_number": "760-271-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIES",
"first_name": "SARNDRA",
"middle_name": "GAYE",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN213705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.