Active NPI
Vangievail Jean Byfuglien
- Home Health Registered Nurse
- Roseau, MN
National Provider Identifier
1609093103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R29973
- Practice address
- 35613 County Road 16
Roseau, MN 56751-8226 - Phone
- (218) 469-0890
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R29973 | MN | Primary |
Addresses
Primary practice location
35613 County Road 16
Roseau, MN 56751-8226
Mailing address
35613 County Road 16
Roseau, MN 56751-8226
Phone (218) 469-0890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R29973 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609093103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35613 COUNTY ROAD 16",
"city": "ROSEAU",
"state": "MN",
"postal_code": "567518226",
"telephone_number": "218-469-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35613 COUNTY ROAD 16",
"city": "ROSEAU",
"state": "MN",
"postal_code": "567518226",
"telephone_number": "218-469-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYFUGLIEN",
"first_name": "VANGIEVAIL",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R29973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseau, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.