MRS. PATTY SUSAN VANDERGRIFT (NPI# 1497955470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497955470 |
| Entity Type | Individual |
| Full Name | MRS. PATTY SUSAN VANDERGRIFT |
| Credential | RN, NNP-BC |
| Practice Address |
3333 Silas Creek Pkwy Winston-salem NC 27103 |
| Mailing Address |
1188 Mcknight Drive King NC 27021 |
| Practice Telephone | 3367183160 |
| Mailing Telephone | 3369837338 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
120277 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 SILAS CREEK PKWY |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760403596 | Carolyn Nancy Haynes | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-07-21 |
| 1598784654 | A Lynn Cranor | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-07-19 |
| 1679505960 | Nina Douglas Phaup | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-07-07 |
| 1447281845 | Wake Forest University Health Sciences | Pediatrics | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-07-05 |
| 1508895053 | Dorothy Sue Mcdowell | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-30 |
| 1659308740 | Kathryn Russell | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-26 |
| 1316973159 | Kathy Davis Stephens | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-23 |
| 1598701872 | Merri Michael Wolff | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-22 |
| 1285670943 | Margaret Jean Collins | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-21 |
| 1407891575 | Wake Forest University Health Sciences | Anesthesiology | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072325 | Karen Emily Wadman | Nurse Practitioner | Medical Center Boulevard, Winston-salem, NC 27157-1060 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
| 1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
| 1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
| 1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
| 1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
| 1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
| 1003889965 | Paula Beth Roach | Nurse Practitioner | Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-02-10 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MRS. PATTY SUSAN 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.