Vanessa Fogelbach

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002137 Issued in NV

Practice address

3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226

Phone

(702) 254-5437

Fax

(702) 254-7354

NPI assigned

Feb 23, 2016

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vrijendra K Hoon MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1922298595
  Medicare reassignment NPD
• William Neal Evans MD LTD

  dba Childrens Heart Center Nevada

  • Pediatric Cardiology Physician
  • Las Vegas, NV
  • NPI 1548240443

  Family

  Medicare reassignment NPD
• William Neal Evans, MD, LTD

  dba Children's Heart Center Nevada

  • Pediatric Cardiology Physician
  • Las Vegas, NV
  • NPI 1720110190

  Family

  NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1598125221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 S MARYLAND PKWY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096226",
            "telephone_number": "702-254-5437",
            "fax_number": "702-254-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S MARYLAND PKWY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096226",
            "telephone_number": "702-254-5437",
            "fax_number": "702-254-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELBACH",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Foerster
• Lisa M. Foerster, PSY.D.
• Amanda Fofana
• Rosemary Fofanah, CNA
• Christina Fogarty, LCSW
• Raven Fogg
• Steve G Foggia, RPH
• Katherine Marie Fogleboch
• Mario Fojtik, CERTIFIED SCRUB TECH
• Mercedes Fokas

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.