Vivian Delois Wimberly, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN154685 Issued in CA

Practice address

7655 Laurie Way
Sacramento, CA 95832-1514

Phone

(916) 392-6216

Fax

(916) 392-6216

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kitty's

  • Pediatric Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1437312055
  NPD (past) Authorized official

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1396901195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 LAURIE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321514",
            "telephone_number": "916-392-6216",
            "fax_number": "916-392-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 LAURIE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321514",
            "telephone_number": "916-392-6216",
            "fax_number": "916-392-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "VIVIAN",
        "middle_name": "DELOIS",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN154685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markell Wimberley
• Diamond Nichole Wimberly
• Geary Lawrence Wimberly
• Latricia Wimberly
• Sharon Chanita Wimberly
• Chozin Win
• Ricky Winardi, MD
• James Winchester, M.S.
• Mark A Winchester, M.D.
• Wind Youth Services, Inc.

• Licensed Vocational Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.