MICHELLE M VANDEMARK (NPI# 1518283779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518283779 |
| Entity Type | Individual |
| Full Name | MICHELLE M VANDEMARK |
| Other Name | MICHELLE M VOLIN |
| Credential | CNP |
| Practice Address |
1205 S Grange Ave Ste 201 Sioux Falls SD 57105-0414 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288188 |
| Practice Fax Number | 6053288101 |
| Mailing Telephone | 6053287180 |
| Mailing Fax Number | 6053287177 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CP000584 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 S GRANGE AVE STE 201 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-0414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730163429 | Mohammed Arshed Qureshi | Psychiatry & Neurology | 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 | 2005-12-06 |
| 1770063703 | Rachel Potter | Physician Assistant | 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 | 2018-08-20 |
| 1164811618 | Todd W Persson | Nurse Practitioner | 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 | 2015-01-21 |
| 1699079095 | Leslie A Greguson | Nurse Practitioner | 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 | 2010-12-29 |
| 1336363324 | Arvin Lopez Santos | Internal Medicine | 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105-0414 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902391287 | Alison Serck | Nurse Practitioner | 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 | 2018-06-28 |
| 1457327702 | Kristine I Gaster | Nurse Practitioner | 1000 E. 21st St., Ste. 1200, Sioux Falls, SD 57105 | 2006-02-27 |
| 1235770231 | Christopher Gacke | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-10-01 |
| 1780134023 | Andrew Jacob Murtha | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2016-10-11 |
| 1477919421 | Elizabeth Lapp | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2016-01-06 |
| 1346646833 | Chelsey M Sundberg | Nurse Practitioner | 1200 S 7th Ave, Sioux Falls, SD 57105-0900 | 2014-11-10 |
| 1144635988 | Katelin Marie Soodsma | Nurse Practitioner | 1417 S Cliff Ave, Suite 101a, Sioux Falls, SD 57105-1063 | 2014-06-30 |
| 1356684492 | Leann Kay Batiz | Nurse Practitioner | 1905 W 57th St, Ste 1a, Sioux Falls, SD 57108-2893 | 2013-03-27 |
| 1023191343 | Jamie Marie Hansberger | Nurse Practitioner | 1309 W 17th St, Ste. 101, Sioux Falls, SD 57104-4663 | 2006-10-23 |
| 1427028893 | Tamara J. Top | Nurse Practitioner | 1309 W 17th St, Ste 101, Sioux Falls, SD 57104-8805 | 2006-01-26 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on MICHELLE M VANDEMARK.
| 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.