Tracey Lee Vien, AGNP RN PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95094588 Issued in CA

Practice address

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Phone

(323) 783-7156

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1558054536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 CHARLOTTE AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703628",
            "telephone_number": "626-623-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "323-783-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEN",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "credential": "AGNP RN PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95094588",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95094588",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95021281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Viebahn, CRNA
• Melita L Viegas, MD
• Ashley Christine Vieira, PNP, RN, CPN
• Faith Vieira, P.T.
• Rowena Vien
• Thea Vienna
• Quinn Viens
• Cynthia Amarylis Viera Breckenridge, LCSW
• Nancy Viera
• Roberto Carlos Viera

• Case Management Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.