Individual provider Active NPI

Virginia Patten, LPN

  • Licensed Practical Nurse
  • Sells, AZ
National Provider Identifier
1629723390
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP050630 Issued in AZ
Practice address
Arizona State Highway 86
Mile Post 112
Sells, AZ 85634-0810
Phone
(520) 383-6200
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP050630 AZ Primary

Addresses

Primary practice location

Arizona State Highway 86
Mile Post 112
Sells, AZ 85634-0810

Mailing address

PO Box 810
Sells, AZ 85634-0810
Phone (520) 383-6200

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

LicenseStateTypeSpecialty
LP050630AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1629723390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340810",
            "telephone_number": "520-383-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA STATE HIGHWAY 86",
            "address_2": "MILE POST 112",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340810",
            "telephone_number": "520-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "VIRGINIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP050630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.