Active NPI
Nancy Ledgerwood-Van Vleck, ARNP
- Family Nurse Practitioner
- Kent, WA
National Provider Identifier
1831260637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30000229
- Practice address
- 620 W. James Street
RJC Kent Jail Health Clinic,
Kent, WA 98032-4487 - Phone
- (206) 205-2400
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30000229 | WA | Primary |
Addresses
Primary practice location
620 W. James Street
RJC Kent Jail Health Clinic,
Kent, WA 98032-4487
Mailing address
26853 165TH PL SE
Covington, WA 98042-5801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP30000229 | Other | WA | STATE NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle-King County Dept of Public Health | 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 and National Provider Directory roles.
-
- Clinic Pharmacy
- Kent, WA
- NPI 1912073388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831260637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26853 165TH PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980425801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W. JAMES STREET",
"address_2": "RJC KENT JAIL HEALTH CLINIC,",
"city": "KENT",
"state": "WA",
"postal_code": "980324487",
"telephone_number": "206-205-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDGERWOOD-VAN VLECK",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30000229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NURSE PRACTITIONER",
"identifier": "AP30000229",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.