Individual provider Active NPI

Annette Irene Armstrong, LVN

  • Licensed Practical Nurse
  • Sutter, CA
National Provider Identifier
1487919569
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN157409 Issued in CA
Practice address
8388 Marshall Street
No Mail Receptacle/Please Use PO Box for Safe Delivery
Sutter, CA 95982
Phone
(530) 674-7665
Fax
(530) 674-7665
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN157409 CA Primary

Addresses

Primary practice location

8388 Marshall Street
No Mail Receptacle/Please Use PO Box for Safe Delivery
Sutter, CA 95982

Mailing address

PO Box 528
Sutter, CA 95982-0528
Phone (530) 844-1747

Other identifiers 1

IdentifierTypeStateIssuer
VN157409OtherCALICENSED VOCATIONAL NURSE/BVNPT BOARD ISSUED LICENSE NUMBER

Other names 1

  • Mrs. Annette Irene Armstrong-Brewster Former name

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
VN157409CAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1487919569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "SUTTER",
            "state": "CA",
            "postal_code": "959820528",
            "telephone_number": "530-844-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8388 MARSHALL STREET",
            "address_2": "NO MAIL RECEPTACLE/PLEASE USE PO BOX FOR SAFE DELIVERY",
            "city": "SUTTER",
            "state": "CA",
            "postal_code": "95982",
            "telephone_number": "530-674-7665",
            "fax_number": "530-674-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "ANNETTE",
        "middle_name": "IRENE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN157409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED VOCATIONAL NURSE/BVNPT BOARD ISSUED LICENSE NUMBER",
            "identifier": "VN157409",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ARMSTRONG-BREWSTER",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sutter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.