Stacy Vann, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201700628LPN Issued in OR

Practice address

9385 SW Maplewood Dr Apt O172
Portland, OR 97223-6169

Phone

(503) 475-8310

NPI assigned

May 15, 2021

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 identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389
  NPD (past)

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1992379820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 SW MAPLEWOOD DR APT O172",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236169",
            "telephone_number": "503-475-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 SW MAPLEWOOD DR APT O172",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236169",
            "telephone_number": "503-475-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "STACY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201700628LPN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAMERE",
            "identifier": "06161962",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Avamere",
            "affiliation": "N",
            "address_1": "9385 SW Maplewood Dr Apt O172",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972236169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Avamere",
            "affiliation": "N",
            "endpointDescription": "Avamere",
            "address_1": "9385 SW Maplewood Dr Apt O172",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972236169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Vanmeter, CRM
• Sally Jean Vanmeter, LPC
• Jonquil Fae Vann, ED.S.
• Morgan Lindsey Vann
• Sarah Marie Vann, M.S., CCC-SLP
• Marc T Vannguyen, BSW
• Anna Irene Vannice, APRN FNP-C
• Eric A. Vannood, QMHA
• Wendy Denise Vannoy, ND
• Janet Meyers Vanoni, RN, MS

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.