KRISTIN VANDERWELL (NPI# 1316304744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704292621 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1131 Ionia Ave Nw, Grand Rapids, MI 495031020 | 6162597900 | 6162597909 |
Street Address |
6050 NORTHLAND DR NE STE 200 |
City | ROCKFORD |
State | MI |
Zip Code | 49341 |
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 |
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 Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
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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.