Ashley Nicole Van

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

704147 Issued in CA

Practice address

13671 Rosalind Dr
Tustin, CA 92780-1924

Phone

(949) 296-4545

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1902253560
  NPD
• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Tustin, CA
  • NPI 1962549295
  NPD

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1790447969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13671 ROSALIND DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801924",
            "telephone_number": "949-296-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13671 ROSALIND DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801924",
            "telephone_number": "949-296-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "704147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVERS LICENSE",
            "identifier": "F2610710",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avan@cornerstonesocal.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "13671 Rosalind Dr",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927801924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen Van Der Heyden
• Diane C Van Leeuwen, D.C.
• Holly Elise Van Meeteren, O.T.R. L
• Van T Nguyen
• Rachel N Van Vliet, M.S., CCC-SLP
• Vanson Dental Corporation
• Alex Vanson, PHARM D
• Angelica Esmeralda Vargas
• Crystal Lea Vargas
• Jessica Vargas

• Licensed Vocational Nurse in Tustin, CA
• Providers in Tustin, 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 6, 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.