MS. NANCY LEDGERWOOD-VAN VLECK (NPI# 1831260637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831260637 |
| Entity Type | Individual |
| Full Name | MS. NANCY LEDGERWOOD-VAN VLECK |
| Credential | ARNP |
| Practice Address |
620 W. James Street Rjc Kent Jail Health Clinic Kent WA 98032-4487 |
| Mailing Address |
26853 165th Pl Se Covington WA 98042-5801 |
| Practice Telephone | 2062052400 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30000229 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE NURSE PRACTITIONER | AP30000229 | 01 |
| WA | DEA | MV0107260 | 01 |
| Street Address |
620 W. JAMES STREET RJC KENT JAIL HEALTH CLINIC, |
| City | KENT |
| State | WA |
| Zip Code | 98032-4487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987675 | Angela Jeanne Shumaker | Nurse Practitioner | 1104 Copper Ct Apt 104, Kent, OH 44240-8220 | 2020-09-16 |
| 1881246478 | Tiffany L Havens | Nurse Practitioner | 500 S Water St, Kent, OH 44240-3548 | 2019-07-12 |
| 1871052183 | Kayla Massoli | Nurse Practitioner | 3026 Tallmadge Rd, Kent, OH 44240-6872 | 2019-03-16 |
| 1548799778 | Christopher Thomas Matthews | Nurse Practitioner | 5320 S 236th St, Kent, WA 98032-3388 | 2017-06-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| 1083020721 | Stephanie Dove Proudfoot | Nurse Practitioner | 500 South Water Street, Kent, OH 44240 | 2014-07-02 |
| 1710289202 | Kristen Renea Goetz Jones | Nurse Practitioner | 4802 S 215th St, Kent, WA 98032-8481 | 2010-12-03 |
| 1568779239 | Lisa Sue Bettinger | Nurse Practitioner | 1500 Eastway Drive, Kent, OH 44240-2934 | 2010-09-01 |
| 1619032612 | Khamsaengphet Hodges | Nurse Practitioner | 10056 Se 240th St Ste A, Kent, WA 98031-5126 | 2006-12-27 |
| 1720157498 | Carol Renne Tanaka | Nurse Practitioner | 613 W Gowe St, Kent, WA 98032-5745 | 2006-11-07 |
| Find all providers in KENT | ||||
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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.