MS. JOANN MCCULLAR VANDERGRIFF (NPI# 1891772885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891772885 |
| Entity Type | Individual |
| Full Name | MS. JOANN MCCULLAR VANDERGRIFF |
| Credential | MSN, FNP |
| Practice Address |
2430 W Pierce St Carlsbad NM 88220-3553 |
| Mailing Address |
Po Box 1382 Carlsbad NM 88221-1382 |
| Practice Telephone | 5058874100 |
| Mailing Telephone | 5058874073 |
| Mailing Fax Number | 5058871000 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R35927 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2430 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723494 | Daniel Forest Taylor | Family Medicine | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2005-07-11 |
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1578027710 | Cassandra Groves | Registered Nurse | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2019-01-22 |
| 1578046181 | Cally Vetter | Dietitian, Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-09-10 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1467956862 | Courtney Allison Wittkower | Physical Therapist | 2430 W Pierce St, Carlsbad, NM 88220-3597 | 2018-03-20 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1053827832 | Cameron Scott Peterson | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-12-15 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092460 | Jennifer Anne Tupper | Nurse Practitioner | 2420 W Pierce St Ste 100, Carlsbad, NM 88220-3517 | 2020-01-08 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1891252318 | Stacy Thompson | Nurse Practitioner | 3610 Village Dr Apt A, Carlsbad, CA 92008-3362 | 2019-02-21 |
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1689145278 | Angela Bidlack | Nurse Practitioner | 6438 Opal Way, Carlsbad, CA 92011-1241 | 2018-12-08 |
| 1548744899 | Li Li | Nurse Practitioner | 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 | 2018-09-22 |
| 1083120760 | Shannon L Roper | Nurse Practitioner | 110 S Halagueno St Ste 8, Carlsbad, NM 88220-5748 | 2017-12-18 |
| 1396259172 | Masoud Nadi | Nurse Practitioner | 5938 Priestly Dr Ste 102a, Carlsbad, CA 92008-8847 | 2017-12-01 |
| 1285144642 | Reagan Shea Leyva | Nurse Practitioner | 2402 W Pierce St Ste 2a, Carlsbad, NM 88220-3568 | 2017-10-11 |
| 1184152753 | Rica Elizabeth Davis | Nurse Practitioner | 6260 El Camino Real Ste 204, Carlsbad, CA 92009-1609 | 2017-05-26 |
| Find all providers in CARLSBAD | ||||
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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.