Vivian Nina Vanderschelden, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LP00058965 Issued in WA

Practice address

1230 Monitor St
Wenatchee, WA 98801-3534

Phone

(509) 300-1221

Fax

(509) 663-4637

NPI assigned

Oct 8, 2018

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1174098040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17195 S LAKESHORE RD",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169224",
            "telephone_number": "509-590-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONITOR ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013534",
            "telephone_number": "509-300-1221",
            "fax_number": "509-663-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHELDEN",
        "first_name": "VIVIAN",
        "middle_name": "NINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP00058965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary James Van Wagner, RDN
• Vanbibber Wenatchee PC
• Vanbibber Wenatchee PC
• Paula A Vanderpool
• Tyler Vanderpool
• Gloria Vandyke
• Jennifer Vanhoven, LMT
• Cameron Vantassell, MS,RD,CD
• Tara Lyn Vanwagner, L.M.P
• Jessica Varga

• Licensed Vocational Nurse in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Licensed Vocational Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.