Elizabeth Vonwellsheim, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

87006599N4 Issued in OR

Practice address

382B South 58TH Street
Springfield, OR 97478

Phone

(541) 747-4858

Fax

(541) 747-8351

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TSL Springfield Operating, LLC

  • Alzheimer Center (Dementia Center)
  • Springfield, OR
  • NPI 1740898576
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1124058789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382B SOUTH 58TH STREET",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97478",
            "telephone_number": "541-747-4858",
            "fax_number": "541-747-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382B SOUTH 58TH STREET",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97478",
            "telephone_number": "541-747-4858",
            "fax_number": "541-747-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONWELLSHEIM",
        "first_name": "ELIZABETH",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "87006599N4",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "087006599N4 GNPPP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina M Visser, RN
• Duc Minh Vo, M.D.
• Daniel Joseph Vodzak
• Barbara J Vogel, CRNA
• Volunteers in Medicine Clinic
• Vop Chateau Gardens, LLC
• Rishi Vora, D.O.
• Michael Scott Wadsworth
• Lynnette Louise Wagar
• Krystal June Wages, C.P.M

• Gerontology Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Gerontology Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.