MR. JOHN DANIEL VANDEVELDE (NPI# 1922089804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922089804 |
| Entity Type | Individual |
| Full Name | MR. JOHN DANIEL VANDEVELDE |
| Credential | PNP |
| Practice Address |
1261 Viscaya Pkwy Ste 101 Cape Coral FL 33990-3252 |
| Mailing Address |
12730 New Brittany Blvd Ste 602 Fort Myers FL 33907-4690 |
| Practice Telephone | 2395737337 |
| Practice Fax Number | 2395745883 |
| Mailing Telephone | 2392755522 |
| Mailing Fax Number | 2392754464 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 9455776 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | BMBUO | 01 |
| FL | 020729900 | 05 |
| Street Address |
1261 VISCAYA PKWY STE 101 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518445998 | Heather Starnes | Nurse Practitioner | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2018-07-30 |
| 1205368875 | Liliya Gerasymchuk | Pediatrics | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2017-04-01 |
| 1326021239 | Physicians Primary Care of Southwest Florida Pl | Nurse Practitioner | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-23 |
| 1912989161 | Ralph N Landefeld | Pediatrics | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-15 |
| 1437131604 | Stanley L Wiggins | Pediatrics | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659866978 | Christina Maria Todd | Nurse Practitioner | 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904-5783 | 2018-06-28 |
| 1770888760 | Mandy M Parfitt | Nurse Practitioner | 206 Se 16th Pl, Cape Coral, FL 33990-1329 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
Please comment or provide details below to improve the information on MR. JOHN DANIEL VANDEVELDE.
| 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.