Sandra Kay Devoll, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN200999 Issued in CA

Practice address

2179 Bidwell Ave
Chico, CA 95926-9609

Phone

(530) 342-6413

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By 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

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831232354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NEW DAWN CIR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959286811",
            "telephone_number": "530-343-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 BIDWELL AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959269609",
            "telephone_number": "530-342-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOLL",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN200999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilianne Juliette Derecktor Gaul
• Monica Lynn Derkacz, ACSW
• Deron Ludwig, M.D., Inc
• Miranda Rose Devalera
• Joseph Lloyd Devault IV
• Joseph Devore
• Sehaj Singh Dhillon, DDS
• DHL Enterprises, LLC (BrightStar Healthcare)
• Dyan Diamond
• Adriana Valeria Diaz

• Licensed Vocational Nurse in Chico, CA
• Providers in Chico, 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 Jul 8, 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.