Kelley Jean Vigstol, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

R47259 Issued in ND

Practice address

2305 37TH Ave SW
Minot, ND 58701-7669

Phone

(701) 418-8342

NPI assigned

Oct 9, 2023

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 names 1

• Kelley Jean Wu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1831970599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 8TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016410",
            "telephone_number": "701-340-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 37TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017669",
            "telephone_number": "701-418-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGSTOL",
        "first_name": "KELLEY",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ND",
            "license": "R47259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "WU",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan M Vibeto, DDS
• Elizabeth Ann Vibeto, RN
• Mark C Vibeto, CRNA
• Anastasia Vickerman
• Danko Victor Vidovich, M.D.
• Jessica Villegas
• Jasmine Vinnard
• Vision Source Minot, PLLC
• Kristy Voecks
• Lisa Marie Voeller, LAC & ICGC II

• Critical Care Medicine Registered Nurse in Minot, ND
• Providers in Minot, ND by specialty
• Critical Care Medicine Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.