Active NPI
Larissa Vishtell, FNP
- Nurse Practitioner
- Temecula, CA
National Provider Identifier
1457496390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5529
- Practice address
- 41840 Enterprise Cir N
Temecula, CA 92590-5654 - Phone
- (760) 737-6960
- Fax
- (760) 741-2782
- NPI assigned
- Feb 20, 2007
- Last updated
- Feb 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5529 | CA | Primary |
Addresses
Primary practice location
41840 Enterprise Cir N
Temecula, CA 92590-5654
Mailing address
425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-6960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5529 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1457496390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253413",
"telephone_number": "760-737-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41840 ENTERPRISE CIR N",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905654",
"telephone_number": "760-737-6960",
"fax_number": "760-741-2782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISHTELL",
"first_name": "LARISSA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
- Katelyn Virgen
- Virgil Benjamin DMD Inc.
- Maheep Virk, MD
- Virtue Ipa
- Randy Viscarra
- Visnic Center for Integrated Health Inc (Release Muscle Therapy)
- Samuel J Visnic, MT
- Vitality Medical Group PC
- Vitality Medical Group PC (Vitality Integrative Wellness)
- Vitality Urgent Care a Medical Corporation (Inland Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.