Individual provider Active NPI

Marietta Frances Allensworth, L.V.N.

  • Licensed Practical Nurse
  • Santa Barbara, CA
National Provider Identifier
1225249980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN 84882 Issued in CA
Practice address
Student Health University of Ca Santa Barbara
Santa Barbara, CA 93106-7002
Phone
(805) 971-7129
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN 84882 CA Primary

Addresses

Primary practice location

Student Health University of Ca Santa Barbara
Santa Barbara, CA 93106-7002

Mailing address

414 Cinderella LN
Santa Barbara, CA 93111-2511
Phone (805) 967-8126

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN 84882CAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225249980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CINDERELLA LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112511",
            "telephone_number": "805-967-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH UNIVERSITY OF CA SANTA BARBARA",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-971-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENSWORTH",
        "first_name": "MARIETTA",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 84882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.