Active NPI
Dana Lee Vantassel, NP-C
- Family Nurse Practitioner
- Klamath Falls, OR
National Provider Identifier
1134429475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201050199NP
- Practice address
- 2614 Almond St
Klamath Falls, OR 97601-1117 - Phone
- (541) 885-2201
- Fax
- (541) 883-1400
- NPI assigned
- Nov 2, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201050199NP | OR | Primary |
| Pulmonary Disease Physician | 207RP1001X | 201050199NP | OR | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 201050199NP | OR |
Addresses
Primary practice location
2614 Almond St
Klamath Falls, OR 97601-1117
Mailing address
2614 Almond St
Klamath Falls, OR 97601-1117
Phone (541) 885-2201
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1134429475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 ALMOND ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011117",
"telephone_number": "541-885-2201",
"fax_number": "541-883-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 ALMOND ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011117",
"telephone_number": "541-885-2201",
"fax_number": "541-883-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTASSEL",
"first_name": "DANA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201050199NP",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "201050199NP",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "OR",
"license": "201050199NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.