Vanwagoner Consulting Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

VANWAGONER CONSULTING INC

Practice address

120 W Main St
Rigby, ID 83442-1313

Phone

(208) 716-3259

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Johansson

Title

President

Phone

(208) 716-3259

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1447078985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 E CEDAR POINT LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014834",
            "telephone_number": "208-716-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421313",
            "telephone_number": "208-716-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANWAGONER CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "JOHANSSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-716-3259"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Rigby, ID
• Providers in Rigby, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.