Ellen Leigh Vandenberg, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN26316 Issued in NV

Practice address

188 Peponita CT
Washoe Valley, NV 89704-9648

Phone

(775) 737-1818

NPI assigned

May 28, 2022

Sex

Female

Sole proprietor

Yes

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": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1518606565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PEPONITA CT",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "897049648",
            "telephone_number": "775-737-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PEPONITA CT",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "897049648",
            "telephone_number": "775-737-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "ELLEN",
        "middle_name": "LEIGH",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "RN26316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Pecota
• Cindy Ann Rodman
• Rita Smith
• Melinda L Stillwell
• Shana Stirton
• Shirley A Webster, MFT, LADC, LPC
• Lacie L Young
• Dana M Zbella

• Registered Nurse First Assistant in Washoe Valley, NV
• Providers in Washoe Valley, NV by specialty
• Registered Nurse First Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.