Tina Marie Louise Vanwolbeck, RN, PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

556269 Issued in CA

Practice address

597 Center Ave
Suite 150
Martinez, CA 94553-4640

Phone

(925) 646-5179

Fax

(925) 646-5201

NPI assigned

Dec 4, 2007

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

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1972785624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 CENTER AVE",
            "address_2": "SUITE 150",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534640",
            "telephone_number": "925-646-5179",
            "fax_number": "925-646-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 CENTER AVE",
            "address_2": "SUITE 150",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534640",
            "telephone_number": "925-646-5179",
            "fax_number": "925-646-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWOLBECK",
        "first_name": "TINA",
        "middle_name": "MARIE LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "556269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Emma Van Rooyen, RN, IBCLC
• Ashley Vance, M.D.
• George Lapointe Vandermark
• Mark Vanhandel
• Susan Ann Vanlandingham
• Michelle Varela
• Solon Vargas
• Raghesh Varot Kangath, M.D
• Nakul Varshney
• Michelle Patrice Vaughn, LVN

• Case Management Registered Nurse in Martinez, CA
• Providers in Martinez, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.