Individual provider Active NPI

Vimlan Vandien, R.D.

  • Registered Dietitian
  • Napa, CA
National Provider Identifier
1992041685
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
858852 Issued in CA
Practice address
2344 Old Sonoma Rd
Building G
Napa, CA 94559-3708
Phone
(707) 253-4272
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 858852 CA Primary

Addresses

Primary practice location

2344 Old Sonoma Rd
Building G
Napa, CA 94559-3708

Mailing address

2261 Elm St
Building G
Napa, CA 94559-3721
Phone (707) 253-4272

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
858852CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1992041685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 ELM ST",
            "address_2": "BUILDING G",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593721",
            "telephone_number": "707-253-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 OLD SONOMA RD",
            "address_2": "BUILDING G",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593708",
            "telephone_number": "707-253-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIEN",
        "first_name": "VIMLAN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "858852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.