Jennifer Susan Vanwagoner, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

193978 Issued in CA

Practice address

1134 Rimrock Dr
Napa, CA 94558-9672

Phone

(707) 738-6577

NPI assigned

May 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1144512781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 RIMROCK DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945589672",
            "telephone_number": "707-738-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 RIMROCK DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945589672",
            "telephone_number": "707-738-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWAGONER",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "193978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Henry Vanderzwaag, M.D.
• Vimlan Vandien, R.D.
• Faith Vang
• NA Lee Vang
• Thompson Vang
• Alexandria Alicia Vargas
• Angelica Monique Vargas
• Flavio Vargas, RN
• Ivana Vargas
• Jenny Del Rosario Vargas, RN

• All providers in Napa, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.