Individual provider Active NPI

Vienna Dee Ann Loften, NP-C

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1447334230
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60249851 Issued in WA
Practice address
8904 W Tucannon Ave
Kennewick, WA 99336-7178
Phone
(509) 627-2848
Fax
(509) 627-2849
NPI assigned
Oct 25, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60249851 WA Primary

Addresses

Primary practice location

8904 W Tucannon Ave
Kennewick, WA 99336-7178

Mailing address

8904 W Tucannon Ave
Kennewick, WA 99336-7178
Phone (509) 627-2848

Other identifiers 1

IdentifierTypeStateIssuer
2022829MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000294 WA Practitioner - Nurse Practitioner 1254591662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Pain Center IncGroup PAC ID 7810181823, 2 clinicians

Practice addresses (Care Compare)

8904 W Tucannon Ave
Kennewick, WA 99336-7178
Phone (509) 627-2848

Merit-based Incentive Payment System (MIPS)

Final score
24.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Pain Center Inc CurrentSince Nov 1, 2019 Accepting new patients
Columbia Rehab and Pain Inc PastSince Nov 15, 2012 Accepting new patients
Ideal Telemedicine Services, LLC PastSince Sep 1, 2017 Accepting new patients
Rockwood Clinic PS Past Accepting new patients

Locations

8904 W Tucannon Ave
Kennewick, WA 99336
Phone (509) 627-2848

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1447334230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 W TUCANNON AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367178",
            "telephone_number": "509-627-2848",
            "fax_number": "509-627-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 W TUCANNON AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367178",
            "telephone_number": "509-627-2848",
            "fax_number": "509-627-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTEN",
        "first_name": "VIENNA",
        "middle_name": "DEE ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60249851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022829",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.