Individual provider Active NPI

Stephanie Tricinda Arceneaux-Stephens, LVN

  • Licensed Vocational Nurse
  • San Diego, CA
National Provider Identifier
1326230137
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN190941 Issued in CA
Practice address
6507 Tanglewood Rd
San Diego, CA 92111-4127
Phone
(619) 920-0826
Fax
(858) 560-1368
NPI assigned
Aug 15, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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 VN190941 CA Primary

Addresses

Primary practice location

6507 Tanglewood Rd
San Diego, CA 92111-4127

Mailing address

6507 Tanglewood Rd
San Diego, CA 92111-4127
Phone (619) 920-0826

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
VN190941CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1326230137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TANGLEWOOD RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114127",
            "telephone_number": "619-920-0826",
            "fax_number": "858-560-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TANGLEWOOD RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114127",
            "telephone_number": "619-920-0826",
            "fax_number": "858-560-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX-STEPHENS",
        "first_name": "STEPHANIE",
        "middle_name": "TRICINDA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN190941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.