COURTNEY VANDERGRIFT (NPI# 1104435346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435346 |
| Entity Type | Individual |
| Full Name | COURTNEY VANDERGRIFT |
| Practice Address |
21106 Creek Side Dr Sw Westernport MD 21562-2001 |
| Practice Telephone | 3017230144 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
21106 CREEK SIDE DR SW |
| City | WESTERNPORT |
| State | MD |
| Zip Code | 21562-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952806 | Keiley Michele Vandergrift | Technician | 21106 Creek Side Dr Sw, Westernport, MD 21562-2001 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760792378 | Vicky Lynn Umstot | Occupational Therapist | 21907 Westernport Road, Westernport, MD 21562 | 2010-10-15 |
| 1043327166 | Steven Edward Scheermesser | Dentist | 21419 Chesapeake Ave, Sw, Mccoole, MD 21562 | 2006-08-24 |
| 1922014778 | Dr Norman E Wood Inc | Family Medicine | 90 Main St., Westernport, MD 21562 | 2006-08-01 |
| 1114925179 | Norman E Wood Jr. | Family Medicine | 90 Main St, Westernport, MD 21562 | 2005-07-13 |
| 1063661635 | Kimberly Sue Maynard | Nurse Practitioner | 22221 Westernport Rd Sw, Westernport, MD 21562 | 2008-09-18 |
| 1447320395 | Valerie Mae Ravenscroft | Speech-Language Pathologist | 25701 Shady Ln Sw, Westernport, MD 21562 | 2006-11-08 |
| 1750999504 | Lacey Lee | Family Medicine | 313 Poplar St, Westernport, MD 21562-1125 | 2020-07-17 |
| 1174013411 | Katrina Ann Opel | Nurse Practitioner | 51 Main St Ste 4a, Westernport, MD 21562-1400 | 2018-05-11 |
| 1407391667 | Allegany Family Health | Clinic/Center | 51 Main St, Westernport, MD 21562-1400 | 2016-12-27 |
| 1356361356 | Shin Eung Kim | Family Medicine | 90 Main St, Westernport, MD 21562-1408 | 2006-07-20 |
| Find all providers in zip 21562 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786815 | Regina Sutherland | Technician | 114 Green St, Westernport, MD 21562-1704 | 2020-10-02 |
| 1457952806 | Keiley Michele Vandergrift | Technician | 21106 Creek Side Dr Sw, Westernport, MD 21562-2001 | 2020-11-03 |
| 1710593587 | Tena Hanlin Bishop | Technician | 280 Main St, Westernport, MD 21562-1611 | 2020-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536933 | Joi Watts | Technician | 16 Potomac St, Cumberland, MD 21502-4754 | 2020-10-23 |
| 1316546732 | Megan Weissfuss | Technician | 18348 Roy Croft Dr, Hagerstown, MD 21740-1676 | 2020-10-19 |
| 1316545973 | Nuria Reyes | Technician | 3223 Powder Mill Rd, Hyattsville, MD 20783-1030 | 2020-10-15 |
| 1528666344 | Miracle Jade Morton | Technician | 17815 Merino Dr, Accokeek, MD 20607-3277 | 2020-10-14 |
| 1518564814 | Ashanti Savage | Technician | 8700 Post Oak Way, Hyattsville, MD 20785-4734 | 2020-10-08 |
| 1528665668 | Roseline Ndip Ayuk | Technician | 931 Caslon Way Apt 104, Hyattsville, MD 20785-6005 | 2020-10-01 |
| 1043827793 | Elvis Tinong Mbah | Technician | 3504 Hubbard Rd Apt 204, Hyattsville, MD 20785-2068 | 2020-09-28 |
| 1417564162 | Adolf Mba Bafi | Technician | 9905 Good Luck Rd Apt T1, Lanham, MD 20706-3246 | 2020-09-27 |
| 1295342194 | Shirlee Degraphenreid | Technician | 938 E Swan Creek Rd # 282, Fort Washington, MD 20744-5250 | 2020-09-25 |
| 1346856655 | Brittany Nicole Shears | Technician | 14801 Railroad St Apt 6, Frostburg, MD 21532-4853 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | WESTERNPORT |
| Zip Code | 21562 |
Please comment or provide details below to improve the information on COURTNEY VANDERGRIFT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.