Vicki Louise Eden, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP032476 Issued in AZ

Practice address

1753 E 8TH Ave
Mesa, AZ 85204-3617

Phone

(480) 472-6465

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1508149584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E BETHANY HOME RD",
            "address_2": "APT. 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142006",
            "telephone_number": "602-245-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 E 8TH AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043617",
            "telephone_number": "480-472-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "VICKI",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP032476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Melinda Eddy, COTA
• Kevin Edel, RPH
• Angela Edelbrock, OTR/L
• Eden Adult Care Facility, Inc.
• Gary W Eden, D.O.
• Latanya Olivia Edenburgs
• Pamela Lea Edens, RN MS FNP
• Kayla May Edgar
• Edgeline Audiology PLLC
• Edivan Mental Health Services

• Licensed Practical Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.