MRS. MICHELLE LYNN VANDEBERG (NPI# 1013191451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013191451 |
Entity Type | Individual |
Full Name | MRS. MICHELLE LYNN VANDEBERG |
Credential | ARNP |
Practice Address |
4205 Glass Rd Ne Cedar Rapids IA 52402-2514 |
Practice Telephone | 3192940094 |
Practice Fax Number | 3192940095 |
Mailing Telephone | 3192940094 |
Mailing Fax Number | 3192940095 |
Enumeration Date | 2007-12-20 |
Last Update Date | 2016-02-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A107620 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4205 GLASS RD NE |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52402-2514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306873328 | Jeffrey Alan Mitchell | Chiropractor | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2006-06-26 |
1255707592 | Amy Crystal Freeman | Nurse Practitioner | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2015-08-20 |
1386785293 | Advanced Spine and Rehab Center PC | Internal Medicine | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2007-02-12 |
1275556532 | Partners In Pediatrics PC | Pediatrics | 4205 Glass Rd Ne, Cedar Rapids, IA 52402 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
Find all providers in zip 52402 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
1134754575 | Jennifer M Magsamen | Nurse Practitioner | 1026 A Ave Ne Fl 5, Cedar Rapids, IA 52402-5036 | 2020-03-05 |
1043859242 | Ankit R Parikh | Nurse Practitioner | 5264 Council St Ne Ste 100, Cedar Rapids, IA 52402-2499 | 2020-01-06 |
1487202255 | Brenna Elaine Steckler | Nurse Practitioner | 6514 Ohio St Sw, Cedar Rapids, IA 52404-5441 | 2019-08-26 |
1366906703 | Brigitte Kamtal Toingar | Nurse Practitioner | 369 Willshire Ct Ne, Cedar Rapids, IA 52402-6922 | 2019-01-30 |
1720567407 | Rachel Ann Blackford | Nurse Practitioner | 1630 42nd St Ne Ste F, Cedar Rapids, IA 52402-3063 | 2018-08-13 |
1952812679 | Hillary Behn | Nurse Practitioner | 788 8th Ave Se Ste 400, Cedar Rapids, IA 52401-2108 | 2017-10-20 |
1740699925 | Denise Younke | Nurse Practitioner | 2822 Glen Elm Dr Ne, Cedar Rapids, IA 52402-2618 | 2014-08-12 |
1598198061 | Katie T Huether | Nurse Practitioner | 1020 Prairie Dr Ne, Cedar Rapids, IA 52402-4728 | 2013-08-19 |
1497952170 | Mercy Physician Associates, Inc | Nurse Practitioner | 600 7th St Se Ste 100, Cedar Rapids, IA 52401-2120 | 2007-06-27 |
Find all providers in CEDAR RAPIDS |
City | CEDAR RAPIDS |
Zip Code | 52402 |
Please comment or provide details below to improve the information on MRS. MICHELLE LYNN VANDEBERG.
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.