Active NPI
Beth Ann Vawter, RN, FNP-C
- Family Nurse Practitioner
- Claremont, CA
National Provider Identifier
1629279401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 509362
- Practice address
- 170 W San Jose Ave
Suite 200
Claremont, CA 91711-5285 - Phone
- (909) 398-0609
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 509362 | CA | Primary |
Addresses
Primary practice location
170 W San Jose Ave
Suite 200
Claremont, CA 91711-5285
Mailing address
1684 Shamrock Avenue
Upland, CA 91784
Phone (909) 985-6090
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 509362 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629279401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1684 SHAMROCK AVENUE",
"city": "UPLAND",
"state": "CA",
"postal_code": "91784",
"telephone_number": "909-985-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W SAN JOSE AVE",
"address_2": "SUITE 200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917115285",
"telephone_number": "909-398-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAWTER",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "509362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.