Vanessa Nicole Vondra, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

26789 Issued in AK

Practice address

3515 Redstone Rd
North Pole, AK 99705-6226

Phone

(907) 488-9458

NPI assigned

Apr 15, 2011

Last updated

Apr 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1306136924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 REDSTONE RD",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056226",
            "telephone_number": "907-488-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 REDSTONE RD",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056226",
            "telephone_number": "907-488-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDRA",
        "first_name": "VANESSA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AK",
            "license": "26789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Taylor, RN, BSN
• Ariel Thomas, COTA/L
• Matthew Valentin
• Sonia Vega
• Patricia Joann Voigt, RDH
• Nina Elaine Wendt, PH.D.
• Brittany Jean Wesseling, RBT
• Jenny Whitt
• Jennifer Caye Willeford, IBCLC
• Jordan Williams

• Medical-Surgical Registered Nurse in North Pole, AK
• Providers in North Pole, AK by specialty
• Medical-Surgical Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.