Active NPI
Brenda Vargas
- Licensed Practical Nurse
- Fort Huachuca, AZ
National Provider Identifier
1114387016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP041492
- Practice address
- 2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613 - Phone
- (520) 533-9949
- Fax
- (520) 533-6712
- NPI assigned
- Mar 4, 2016
- 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 Practical Nurse | 164W00000X | LP041492 | AZ | Primary |
Addresses
Primary practice location
2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613
Mailing address
1288 Leon Way
Sierra Vista, AZ 85635-1200
Phone (520) 533-9949
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 |
|---|---|---|---|
| LP041492 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1114387016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 LEON WAY",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351200",
"telephone_number": "520-533-9949",
"fax_number": "520-533-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 WINROW AVE",
"address_2": "USA MEDDAC, RWBAHC",
"city": "FORT HUACHUCA",
"state": "AZ",
"postal_code": "85613",
"telephone_number": "520-533-9949",
"fax_number": "520-533-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP041492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Huachuca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.