MS. VICTORIA LYNN VANDYKE (NPI# 1427149392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427149392 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA LYNN VANDYKE |
| Other Name | VICTORIA LYNN FRISBIE |
| Credential | ARNP |
| Practice Address |
1075 Sw Grandview Avenue Suite 200 Grants Pass OR 97527 |
| Mailing Address |
1075 Se Grandview Ave Ste 200 Grants Pass OR 97527-5118 |
| Practice Telephone | 5414798363 |
| Practice Fax Number | 5414762841 |
| Mailing Telephone | 3605714267 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
07635952N5 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | AP30003066 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1075 SW GRANDVIEW AVENUE SUITE 200 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243771 | Felicia Cohen | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste 200, Grants Pass, OR 97527-5788 | 2005-05-31 |
| 1194378232 | Laura Lee Thrasher | Physician Assistant | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2019-07-18 |
| 1578713673 | Thomas Eagan | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste. 200, Grants Pass, OR 97527 | 2008-09-25 |
| 1841298320 | Melanie M Olsrud | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2005-07-08 |
| 1053314377 | Tamara C. Medley | Obstetrics & Gynecology | 1075 Sw Grandview Avenue, Ste 200, Grants Pass, OR 97527 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| 1003986696 | Cathryn Diann Draper | Nurse Practitioner | 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527-5535 | 2006-11-09 |
| 1578180857 | Daniela Falcone | Nurse Practitioner | 2075 Nw Highland Ave, Grants Pass, OR 97526-3310 | 2020-07-02 |
| 1194357764 | Robert Scott Anthony | Nurse Practitioner | 2201 Nw Highland Ave, Grants Pass, OR 97526-3365 | 2020-02-11 |
| 1639468432 | Cascade West Medical Practice LLC | Nurse Practitioner | 201 Ne Savage St, Grants Pass, OR 97526-1309 | 2011-04-01 |
| 1992951107 | Lwafp PC Inc | Nurse Practitioner | 181 Nw Bunnell Ave, Grants Pass, OR 97526-6012 | 2008-08-07 |
| 1174571186 | Cynthia Marie Mahoney | Nurse Practitioner | 181 Nw Bunnell Ave, Grants Pass, OR 97526-6012 | 2006-05-04 |
| 1427028224 | Linda M Picker-johnson | Nurse Practitioner | 181 Nw Bunnell Ave, Grants Pass, OR 97526-6012 | 2006-01-24 |
| 1093715922 | Heather Voss | Nurse Practitioner | 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 | 2005-07-21 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on MS. VICTORIA LYNN VANDYKE.
| 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.