Individual provider Active NPI

Paulette Sophia Dunwood, LVN

  • Licensed Vocational Nurse
  • Modesto, CA
National Provider Identifier
1487847182
Registry record updated Aug 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN126675 Issued in CA
Practice address
921 Lindsay Dr
Modesto, CA 95356-1135
Phone
(209) 521-6575
NPI assigned
Aug 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN126675 CA Primary

Addresses

Primary practice location

921 Lindsay Dr
Modesto, CA 95356-1135

Mailing address

921 Lindsay Dr
Modesto, CA 95356-1135
Phone (209) 521-6575

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
VN126675CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188086400000",
    "number": "1487847182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LINDSAY DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561135",
            "telephone_number": "209-521-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LINDSAY DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561135",
            "telephone_number": "209-521-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNWOOD",
        "first_name": "PAULETTE",
        "middle_name": "SOPHIA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2007-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN126675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; 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.