Judy L Vanguilder, SAC IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16891-130 Issued in WI

Practice address

2000 N Oxford Avenue BLDG 2
Eau Claire, WI 54703-5187

Phone

(715) 834-1078

Fax

(715) 834-1218

NPI assigned

Aug 16, 2013

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Treatment of Wi, LP

  • Methadone Clinic
  • Eau Claire, WI
  • NPI 1023223831
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1386077089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE BLDG 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVENUE BLDG 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGUILDER",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "SAC IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16891-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Vang, OD
• Pao Vang, MD
• Sai Vang, PA-C
• Xue Vang
• Schuyler H. Vangorden II, DDS
• William Quin Vanness
• Emily Vanopdorp, MA, MT-BC
• Parul Vashisth, MD
• Timothy P Vaughn, CRNA, APNP
• Emily Eizabeth Vavra, COTA

• Addiction (Substance Use Disorder) Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.