JENNIFER VANDENBERG (NPI# 1518594852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518594852 |
| Entity Type | Individual |
| Full Name | JENNIFER VANDENBERG |
| Credential | AGACNP |
| Practice Address |
1300 W Terrell Ave Ft Worth TX 76104-2820 |
| Mailing Address |
125 Camouflage Cir Willow Park TX 76008-1107 |
| Practice Telephone | 8172504906 |
| Mailing Telephone | 8175658907 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP143770 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790124030 | Jennifer Lynn Vandenberg | Social Worker | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2013-06-20 |
| 1730270802 | Jennifer R Vandenberg | Physician Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-09-27 |
| Street Address |
1300 W TERRELL AVE |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861614638 | Gurpreet S Baweja | Internal Medicine | 1300 W Terrell Ave, #500, Ft Worth, TX 76104-2820 | 2007-05-02 |
| 1629104419 | Consultants In Cardiology, P.a. | Clinic/Center | 1300 W Terrell Ave, # 500, Ft Worth, TX 76104-2820 | 2007-02-26 |
| 1952397341 | Addison E Thurman | Urology | 1300 W Terrell Ave, Suite 400, Ft Worth, TX 76104-2820 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014089 | Sara C Michael | Nurse Practitioner | 6100 Western Pl Ste 800, Ft Worth, TX 76107-4679 | 2005-09-26 |
| 1497398531 | Liza Munoz Rodriguez | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-10-22 |
| 1215398136 | Lesley O'hara | Nurse Practitioner | 1301 Pennsylvania Ave, Ft Worth, TX 76104-2122 | 2016-03-20 |
| 1396101119 | Claudette Cook | Nurse Practitioner | 1900 Mistletoe Blvd, Ft Worth, TX 76104-4050 | 2016-01-08 |
| 1750716064 | Whitney Johnson Villegas | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2013-09-05 |
| 1841507837 | Cynthia C Kidd | Nurse Practitioner | 3840 Hulen St, Ft Worth, TX 76107-7277 | 2010-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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| 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.