Individual provider Active NPI

Becky Rae Wergers, LVN

  • Licensed Vocational Nurse
  • San Marcos, CA
National Provider Identifier
1306096599
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN193628 Issued in CA
Practice address
1311 Shadow Hills Court
San Marcos, CA 92069-3265
Phone
(760) 745-9948
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN193628 CA Primary

Addresses

Primary practice location

1311 Shadow Hills Court
San Marcos, CA 92069-3265

Mailing address

1311 Shadow Hills Court
San Marcos, CA 92069-3265
Phone (760) 745-9948

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
VN193628CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1306096599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SHADOW HILLS COURT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693265",
            "telephone_number": "760-745-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 SHADOW HILLS COURT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693265",
            "telephone_number": "760-745-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGERS",
        "first_name": "BECKY",
        "middle_name": "RAE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN193628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.