Active NPI
VW Health Care
- Nurse Practitioner
- Lexington, KY
National Provider Identifier
1588054282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3003823
- Legal business name
- VW HEALTH CARE
- Practice address
- 3053 Stanford Dr
Lexington, KY 40517-1518 - Phone
- (859) 492-2601
- NPI assigned
- Feb 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alexis Hope Von Wiegen, APRN
- Title
- Owner
- Phone
- (859) 492-2601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003823 | KY | Primary |
Addresses
Primary practice location
3053 Stanford Dr
Lexington, KY 40517-1518
Mailing address
3053 Stanford Dr
Lexington, KY 40517-1518
Phone (859) 492-2601
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000490013 | Other | KY | BCBS |
| 0912212 | Other | KY | MEDICARE ID TYPE OTHER |
| P00115687 | Other | KY | RAILROAD MED, HHC |
| 78009024 | Medicaid | KY | |
| 702344 | Other | KY | AETNA |
| 0914304 | Other | KY | MEDICARE ID UNSPECIFIED |
| 000000321163 | Other | KY | BCBS HHC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422835200000",
"number": "1588054282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 STANFORD DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171518",
"telephone_number": "859-492-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 STANFORD DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171518",
"telephone_number": "859-492-2601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VW HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A",
"authorized_official_last_name": "VON WIEGEN",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "HOPE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-492-2601",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3003823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000490013",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE OTHER",
"identifier": "0912212",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MED, HHC",
"identifier": "P00115687",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78009024",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "702344",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID UNSPECIFIED",
"identifier": "0914304",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HHC",
"identifier": "000000321163",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.