Individual provider Active NPI

Taylar Jo Vangorden, LPN

  • Licensed Practical Nurse
  • Elmira, NY
National Provider Identifier
1346874930
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
328417 Issued in NY
Practice address
505 W Washington Ave
Elmira, NY 14901-1910
Phone
(607) 857-8912
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN310818 PA
Licensed Practical Nurse 164W00000X 328417 NY Primary

Addresses

Primary practice location

505 W Washington Ave
Elmira, NY 14901-1910

Mailing address

204 Parkhurst St
Elkland, PA 16920-1112
Phone (607) 857-8912

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
328417NYMDLicensed Practical Nurse
PN310818PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1346874930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PARKHURST ST",
            "city": "ELKLAND",
            "state": "PA",
            "postal_code": "169201112",
            "telephone_number": "607-857-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W WASHINGTON AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011910",
            "telephone_number": "607-857-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGORDEN",
        "first_name": "TAYLAR",
        "middle_name": "JO",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN310818",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.