Individual provider Active NPI

Meredith Lou Van Leer, LVN

  • Licensed Vocational Nurse
  • Brookings, OR
National Provider Identifier
1407594567
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
226461 Issued in CA
Practice address
840 Railroad St
Brookings, OR 97415
Phone
(541) 412-1152
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN226461 CA
Licensed Vocational Nurse 164X00000X 226461 CA Primary

Addresses

Primary practice location

840 Railroad St
Brookings, OR 97415

Mailing address

PO Box 634
Brookings, OR 97415-0003
Phone (541) 412-1152

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meredith.vanleer@va.gov Direct

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
226461CAMDPsychiatric/Mental Health Registered Nurse
VN226461CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1407594567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150003",
            "telephone_number": "541-412-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 RAILROAD ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-412-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEER",
        "first_name": "MEREDITH",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN226461",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "226461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meredith.vanleer@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "541-412-1152 ext. 55021",
            "address_1": "840 Railroad St",
            "city": "Brookings",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.