MICHELLE R VANDERBILT (NPI# 1881809275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881809275 |
| Entity Type | Individual |
| Full Name | MICHELLE R VANDERBILT |
| Credential | N.P. |
| Practice Address |
1200 John Q Hammons Dr Ste 400 Madison WI 53717-1967 |
| Practice Telephone | 6084102700 |
| Practice Fax Number | 6084102901 |
| Mailing Telephone | (608) 410-2700 |
| Mailing Fax Number | 6084102901 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2372-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 JOHN Q HAMMONS DR STE 400 |
| City | MADISON |
| State | WI |
| Zip Code | 53717-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884218 | Linh Khuu | Internal Medicine | 1200 John Q Hammons Dr Ste 400, Dean Medical Center, Madison, WI 53717-1967 | 2005-10-10 |
| 1770198285 | Sara K Mistretta | Nurse Practitioner | 1200 John Q Hammons Dr Ste 400, Madison, WI 53717-1967 | 2020-09-11 |
| 1477197176 | Morgan Rachael Fulton | Registered Nurse | 1200 John Q Hammons Dr Ste 400, Madison, WI 53717-1967 | 2019-11-05 |
| 1528313681 | Anna L Bolha | Physician Assistant | 1200 John Q Hammons Dr Ste 400, Madison, WI 53717-1967 | 2012-07-16 |
| 1265695670 | Laura L Pfleger | Genetic Counselor, MS | 1200 John Q Hammons Dr Ste 400, Dean Hematology & Oncology Clinic, Madison, WI 53717-1967 | 2008-07-07 |
| 1477624591 | Cecelia Ann Bellcross | Genetic Counselor, MS | 1200 John Q Hammons Dr Ste 400, Dean Medical Center, Madison, WI 53717-1967 | 2006-11-11 |
| 1942316286 | Roy H Kim | Internal Medicine | 1200 John Q Hammons Dr Ste 400, Dean Medical Center, Madison, WI 53717-1967 | 2006-08-21 |
| 1669428017 | Michael S Frontiera | Internal Medicine | 1200 John Q Hammons Dr Ste 400, Dean Medical Center, Madison, WI 53717-1967 | 2006-05-26 |
| 1235105750 | Shagun Saggar | Internal Medicine | 1200 John Q Hammons Dr Ste 400, Madison, WI 53717-1967 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1770193419 | Madison Emergency Group, PC | Nurse Practitioner | 1740 Lions Club Rd, Madison, GA 30650-4762 | 2020-08-07 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1275179509 | Claire E P Bergman | Nurse Practitioner | 20 S Park St Ste 360, Madison, WI 53715-1387 | 2019-11-21 |
| 1750923538 | Samuel Scott Mccullough IIi | Nurse Practitioner | 120 Fountains Blvd # 1000, Madison, MS 39110-6343 | 2019-10-12 |
| 1083266779 | Heather Hontzas | Nurse Practitioner | 159 Fountains Blvd Ste A, Madison, MS 39110-6344 | 2019-07-12 |
| 1114404118 | Allison Dyrek | Nurse Practitioner | 20 S Park St Ste 405, Madison, WI 53715-1378 | 2018-07-23 |
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1366962045 | Katherine Marie Domes | Nurse Practitioner | 5804 Halley Way, Madison, WI 53718-2934 | 2017-06-22 |
| Find all providers in MADISON | ||||
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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.