Active NPI
Gloria L. Vargas Gonzales, NC 60700770
- Diabetes Educator Registered Nurse
- Mt. Vernon, WA
National Provider Identifier
1477274173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- NC60700770
- Practice address
- 1400 N Laventure Rd
Mt. Vernon, WA 98273 - Phone
- (360) 542-8801
- Fax
- (360) 542-8903
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | NC60700770 | WA | Primary |
Addresses
Primary practice location
1400 N Laventure Rd
Mt. Vernon, WA 98273
Mailing address
P.O. Box 3093
Arlington, WA 98223-3093
Phone (425) 439-8852
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 |
|---|---|---|---|
| NC60700770 | WA | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1477274173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3093",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982233093",
"telephone_number": "425-439-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N LAVENTURE RD",
"city": "MT. VERNON",
"state": "WA",
"postal_code": "98273",
"telephone_number": "360-542-8801",
"fax_number": "360-542-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS GONZALES",
"first_name": "GLORIA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "NC 60700770",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WA",
"license": "NC60700770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt. Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.