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KENYATTA BRIGCHELLE VACCARO
NPI 1245937382
Licensed Practical Nurse in Madison, WI

Active since February 09, 2023
3113 E WASHINGTON AVE, MADISON, WI 53704(608) 416-5777 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenyatta Brigchelle Vaccaro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYATTA BRIGCHELLE VACCARO (NPI 1245937382) is an individual licensed practical nurse in Madison, Wisconsin, licensed in Wisconsin (311553-31) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1245937382
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKENYATTA BRIGCHELLE VACCARO
Location Address3113 E WASHINGTON AVEMadison, WI 53704-4330
Mailing Address1517 Trailsway Apt 3Madison, WI 53704-2934 · (608) 516-8696
Phone(608) 416-5777
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1245937382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 311553-31
Definition
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.
3113 E WASHINGTON AVE, Madison, WI 53704
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY MOFFATT
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
JODIE LYNN KROLL LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
REBECCA DEAL RN
Registered Nurse (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
KELLIE LEWELLIN RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
KATHY LOU JOHNSON LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
BRIANNA BINGHAM RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
STEVEN D HESTNES SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
MARCIA MARIE LEASER SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Vaccaro's NPI number?

The NPI number for Kenyatta Vaccaro is 1245937382. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Kenyatta Vaccaro located?

Kenyatta Vaccaro practices at 3113 E Washington Ave, Madison, WI 53704. The listed phone number is (608) 416-5777.

What is Kenyatta Vaccaro's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kenyatta Vaccaro was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.