KRISTIN VANDERWELL


Address: 6050 Northland Dr Ne Ste 200, Rockford, MI 49341
Phone: 6166858350

KRISTIN VANDERWELL (NPI# 1316304744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316304744
Entity Type Individual
Full Name KRISTIN VANDERWELL
Credential RN
Practice Address 6050 Northland Dr Ne Ste 200
Rockford
MI 49341
Mailing Address 1900 44th St Se
Kentwood
MI 49508-5008
Practice Telephone 6166858350
Practice Fax Number 6163638870
Enumeration Date 2016-01-15
Last Update Date 2018-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
4704292621 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1131 Ionia Ave Nw, Grand Rapids, MI 495031020 6162597900 6162597909

Office Location

Street Address 6050 NORTHLAND DR NE STE 200
City ROCKFORD
State MI
Zip Code 49341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306250543 Camille Ryan Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 2014-06-16
1316404148 Heather Marie Coots Nurse Practitioner 6050 Northland Dr Ne Ste 200, Rockford, MI 49341-9257 2019-02-28
1720438872 Jana Rene Baatenburg Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341 2016-06-20
1538515648 Gabriella Marie Rubino Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341 2016-05-06
1821471509 John Carr Family Medicine 6050 Northland Dr Ne Ste 200, Rockford, MI 49341 2015-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801451836 Heather Nash Social Worker 65 S. Main Street, Lower Level, Rockford, MI 49341 2019-05-06
1366967069 Caitlin Lebron Case Manager/Care Coordinator 8625 Wildcat Run Dr Ne, Rockford, MI 49341 2017-08-03
1366967077 Elite Nurse Staffing, LLC Nursing Care 3836 Windwood Drive, Ne, Rockford, MI 49341 2017-08-03
1336678747 Melissa Diane Maynard Behavior Technician 3361 36th St., Grand Rapids, MI 49341 2017-06-08
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871025254 Robin D Dine Behavior Technician 8636 Shaner Ave, Rockford, MI 49341 2017-04-03
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1366801664 Lorri Ann Kelbel Massage Therapist 11591 Northland Drive Ne, Rockford, MI 49341 2016-02-15
1275872046 Eugene Louis Bonofiglo Dentist 4655- 14 Mile Rd Ne, Rockford, MI 49341 2013-02-13
1740539246 Erica Joyce Nichols Chiropractor 6769 Courtland Dr, Suite 100, Rockford, MI 49341 2012-08-30
Find all providers in zip 49341

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750675872 Heather Nicole Sharp Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2011-06-06
1952387789 Lori Lynn Thompson Nurse Practitioner 826 N Main St, Rockford, IL 61103-6906 2005-12-22
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1043850068 Lauren E Bell Nurse Practitioner 8201 E Riverside Blvd, Rockford, IL 61114-2300 2020-01-07
1043785793 Rachel Lee Danks Nurse Practitioner 6861 Villagreen Vw, Rockford, IL 61107-5639 2018-10-09
1114464765 Amanda M Bustle Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2017-01-20
1407309941 Amanda Macke Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2016-08-02
1982004461 Jennifer Helen Benters Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2014-09-03
1023446770 Kerin Cummins Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2013-10-16
1891942710 Shannon M Krueger Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2008-08-21
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 49341

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Dataset Information

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.

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