NPIMap

Organization Active NPI

Van Wagoner Consulting, Inc.

  • Case Management Agency
  • Rigby, ID
National Provider Identifier
1184831323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VAN WAGONER CONSULTING, INC.
Practice address
177 E Main St
Rigby, ID 83442-1417
Phone
(208) 745-1093
Fax
(208) 745-1092
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tammrah L Van Wagoner, LSW
Title
President
Phone
(208) 745-1093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

177 E Main St
Rigby, ID 83442-1417

Mailing address

PO Box 588
Rigby, ID 83442-0588
Phone (208) 745-1093

National Provider Directory

National Provider Directory

Locations

177 E Main St
Rigby, ID 83442
Phone (208) 745-1093

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184831323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834420588",
            "telephone_number": "208-745-1093",
            "fax_number": "208-745-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E MAIN ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421417",
            "telephone_number": "208-745-1093",
            "fax_number": "208-745-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WAGONER CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "TAMMRAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-745-1093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.