Evelyn Ambion, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN144222 Issued in CA

Practice address

7016 Rawley Way
Elk Grove, CA 95757-4039

Phone

(916) 709-4105

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1780227025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 RAWLEY WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574039",
            "telephone_number": "916-709-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 RAWLEY WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574039",
            "telephone_number": "916-709-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBION",
        "first_name": "EVELYN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN144222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aambionjr72@gmail.com",
            "affiliation": "N",
            "address_1": "7016 Rawley Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957574039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Oct 18, 2019; 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.