Individual provider Active NPI

Esther Lorraine Beardt, L.P.N.

  • Licensed Practical Nurse
  • Phoenix, AZ
National Provider Identifier
1649465360
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP021715 Issued in AZ
Practice address
711 E Missouri Ave
Suite 110
Phoenix, AZ 85014-2824
Phone
(602) 433-1200
Fax
(602) 604-9690
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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 LP021715 AZ Primary

Addresses

Primary practice location

711 E Missouri Ave
Suite 110
Phoenix, AZ 85014-2824

Mailing address

4036 W Grovers Ave
Glendale, AZ 85308-3027
Phone (602) 770-2626

Other names 1

  • Esther Lorraine Vondy Former name

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
LP021715AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1649465360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 W GROVERS AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083027",
            "telephone_number": "602-770-2626",
            "fax_number": "602-978-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MISSOURI AVE",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142824",
            "telephone_number": "602-433-1200",
            "fax_number": "602-604-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDT",
        "first_name": "ESTHER",
        "middle_name": "LORRAINE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP021715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "VONDY",
            "middle_name": "LORRAINE",
            "credential": "L.P.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.