Active NPI
Prebble Aliene West, LVN
- Licensed Vocational Nurse
- Petaluma, CA
National Provider Identifier
1346415551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN30360
- Practice address
- 152 Edith St
Petaluma, CA 94952-3222 - Phone
- (707) 763-6301
- Fax
- (707) 763-6301
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN30360 | CA | Primary |
Addresses
Primary practice location
152 Edith St
Petaluma, CA 94952-3222
Mailing address
152 Edith St
Petaluma, CA 94952-3222
Phone (707) 763-6301
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN30360 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1346415551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 EDITH ST",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949523222",
"telephone_number": "707-763-6301",
"fax_number": "707-763-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 EDITH ST",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949523222",
"telephone_number": "707-763-6301",
"fax_number": "707-763-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "PREBBLE",
"middle_name": "ALIENE",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN30360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.