Genie David-Vasquez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

70107 Issued in TN

Practice address

938 Hines Valley Rd Unit C
Lenoir City, TN 37771-7753

Phone

(865) 415-7290

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1770258709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 HINES VALLEY RD UNIT C",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377717753",
            "telephone_number": "865-415-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 HINES VALLEY RD UNIT C",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377717753",
            "telephone_number": "865-415-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID-VASQUEZ",
        "first_name": "GENIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "70107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Urgent Care, PLLC (Urgent Team - Lenoir City)
• Ashlee Crouse
• Heather E Cummins, APN
• Katherine Diane Daly, PHD
• Kimo Danielsen, PT
• Daniel Davidson
• Angela C Davis, NP
• Natalie Brooke Davis
• Christina Lynn Dean, BSSW
• Arun D Deean, MD

• Licensed Practical Nurse in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.