Stacy Jaque Vigil, is a
Licensed Practical Nurse based in Las Vegas, New Mexico. Stacy Jaque Vigil is licensed to practice in New Mexico (license number LPN-22383) and her current practice location is
213 Chico Dr, Las Vegas, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 429-5508.
NPI number for Stacy Jaque Vigil is 1700393766 and her current mailing address is 1264 Rodeo Rd, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700393766.
Provider's Profile
Full Name | Stacy Jaque Vigil |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 213 Chico Dr, Las Vegas, New Mexico |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700393766
- Provider Enumeration Date: 12/29/2017
- Last Update Date: 04/06/2020
Medical Identifiers
Medical identifiers for Stacy Jaque Vigil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700393766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | LPN-22383 (New Mexico) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
376K00000X | Nurse's Aide | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | LPN-22383 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Jaque Vigil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Jaque Vigil, 1264 Rodeo Rd, Santa Fe, NM 87505-6816 Ph: (505) 982-2129 | Stacy Jaque Vigil, 213 Chico Dr, Las Vegas, NM 87701-9511 Ph: (505) 429-5508 |
Reviews and Comments