Marla Antoinette West, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

277360 Issued in CA

Practice address

9644 Holly Glen Way
Elk Grove, CA 95757-8306

Phone

(916) 695-9227

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1649047457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 WHITELOCK PKWY STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575927",
            "telephone_number": "916-695-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 HOLLY GLEN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578306",
            "telephone_number": "916-695-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MARLA",
        "middle_name": "ANTOINETTE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "277360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aerial Wernecke
• Kenjie N Wessler
• West Elk Grove Dialysis LLC
• Erica West
• Mackenzee West
• Brittany Western
• Maryah Michelle Whalen-Moore
• Mikaela Whalen
• Evan James Wheat
• Maurice Wheatley

• Licensed Vocational Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.