Individual provider Active NPI

Megan Laine Vu, FNP-C

  • Family Nurse Practitioner
  • Georgetown, CA
National Provider Identifier
1649868530
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015581 Issued in CA
Practice address
6065 Ca-193
Georgetown, CA 95634-3116
Phone
(530) 333-2548
NPI assigned
Jan 6, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95172524 CA
Family Nurse Practitioner 363LF0000X 95015581 CA Primary

Addresses

Primary practice location

6065 Ca-193
Georgetown, CA 95634-3116

Mailing address

6065 Ca-193
Georgetown, CA 95634-3116
Phone (530) 333-2548

Other practice location 1

1048 Continentals Way Apt 2
Belmont, CA 94002-3116
Phone (530) 957-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504000208 CA Order and Referring Only - Nurse Practitioner 4587073572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1649868530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 CA-193",
            "city": "GEORGETOWN",
            "state": "CA",
            "postal_code": "956343116",
            "telephone_number": "530-333-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 CA-193",
            "city": "GEORGETOWN",
            "state": "CA",
            "postal_code": "956343116",
            "telephone_number": "530-333-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Continentals Way Apt 2",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "CA",
            "postal_code": "940023116",
            "country_code": "US",
            "telephone_number": "530-957-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "MEGAN",
        "middle_name": "LAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95172524",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, CA

Sources for this page

Verify at the official NPI Registry.