Provider Type Icon

STACY JAQUE VIGIL NPI 1700393766


NPI Information

NPI: 1700393766
Provider Name: STACY JAQUE VIGIL
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
213 CHICO DR
LAS VEGAS, NM
ZIP 87701
Phone: (505) 429-5508
Get Directions

Stacy Jaque Vigil is a licensed practical nurse in Las Vegas, NM. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Stacy Jaque Vigil NPI is 1700393766. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

213 CHICO DR
LAS VEGAS, NM
ZIP 87701-511
Phone: (505) 429-5508

The enumeration date for this NPI number is 12/29/2017 and was last updated on 4/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseLPN-22383NEW MEXICOYes
2164X00000XLicensed Vocational NurseLPN-22383NEW MEXICONo
3376K00000XNurse's AideNo
4171M00000XCase Manager/Care CoordinatorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.