DR. NICOLE LYNN VANDENBERG (NPI# 1790002392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790002392 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LYNN VANDENBERG |
| Other Name | NICOLE LYNN KUHL |
| Credential | M.D. |
| Practice Address |
3 Century Ave. Hutchinson MN 55350 |
| Mailing Address |
3 Century Ave Hutchinson MN 55350 |
| Practice Telephone | 3205872020 |
| Practice Fax Number | 3204844686 |
| Mailing Telephone | 3205872020 |
| Mailing Fax Number | 3204844686 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54305 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790026961 | Nicole E Vandenberg | Occupational Therapy Assistant | 107 E Beckert Rd, New London, WI 54961-2509 | 2013-03-12 |
| Street Address |
3 CENTURY AVE. |
| City | HUTCHINSON |
| State | MN |
| Zip Code | 55350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971521 | Carrie Morgando | Counselor | 255 Minnesota 7, Hutchinson, MN 55350 | 2019-03-14 |
| 1790243046 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1460 Montreal St, Hutchinson, MN 55350 | 2019-03-06 |
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1891283743 | Abby Ann Trettin | Optometrist | 1059 Mn-15, Hutchinson, MN 55350 | 2018-04-26 |
| 1154862142 | Serena Roehl | Specialist/Technologist | 150 Orchard Ave Se, Hutchinson, MN 55350 | 2017-03-10 |
| 1093264616 | Jessica Munsch | Occupational Therapist | 544 Prospect St. Ne, Hutchinson, MN 55350 | 2016-09-23 |
| 1962835777 | Jacqui Marie Ruzicka | Counselor | 255 Highway 7 E, Hutchinson, MN 55350 | 2013-08-15 |
| 1023455243 | Actively Living Life Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1187 Blackhawk Dr Sw, Hutchinson, MN 55350 | 2013-05-29 |
| 1669711966 | Stacy Marie Vancura | Counselor | 902 Highway 15 S Ste 200, Hutchinson, MN 55350 | 2013-02-06 |
| 1619226040 | Samantha Heather Stevens | Registered Nurse | 246 S. Main St., Prairie River Home Care, Hutchinson, MN 55350 | 2012-08-30 |
| Find all providers in zip 55350 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437470648 | David William Paine | Family Medicine | 7 Compound Dr, Hutchinson, KS 67502-4349 | 2010-06-22 |
| 1518041391 | Deborah Kay Aleman | Family Medicine | 8400 N Plum St, Hutchinson, KS 67502-8679 | 2006-10-25 |
| 1487752077 | William J Ciskey | Family Medicine | 1600 N. Lorraine, Suite 110, Hutchinson, KS 67501-5600 | 2006-09-20 |
| 1861426769 | Lyonel Benoit-rock | Family Medicine | 1600 N Lorraine, Suite 202, Hutchinson, KS 67501-5600 | 2006-07-10 |
| 1316919913 | Matthew Schlotterback | Family Medicine | 1100 N Main St, Hutchinson, KS 67501-4406 | 2006-02-07 |
| 1437120284 | Verlin Janzen | Family Medicine | 2101north Waldron, Hutchinson, KS 67502 | 2006-01-30 |
| 1003886714 | Jerome S Spitzer | Family Medicine | 1600 N Lorraine St, Ste 110, Hutchinson, KS 67501 | 2006-01-25 |
| 1316920051 | Gregory L Miller | Family Medicine | 2101 North Waldron Street, Hutchinson, KS 67502 | 2005-11-28 |
| 1003816554 | Ali Reza Arbabi | Family Medicine | 1095 Hwy 15 S, Hutchinson, MN 55350 | 2005-07-27 |
| 1548269871 | Gregory Morgan | Family Medicine | 2700 E 30th Ave, Hutchinson, KS 67502-1242 | 2005-07-19 |
| Find all providers in HUTCHINSON | ||||
| City | HUTCHINSON |
| Zip Code | 55350 |
Please comment or provide details below to improve the information on DR. NICOLE LYNN VANDENBERG.
| 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.