Active NPI
Kathleen D. Vandenburg, ARNP
- Nurse Practitioner
- Amherst, NH
National Provider Identifier
1073501979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 030002-23-03
- Practice address
- Meeting Place Plaza 199 Route 101
Amherst, NH 03031-1734 - Phone
- (603) 249-3000
- Fax
- (603) 249-3000
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 030002-23-03 | NH | Primary |
Addresses
Primary practice location
Meeting Place Plaza 199 Route 101
Amherst, NH 03031-1734
Mailing address
PO Box 1220
199 Route 101
Amherst, NH 03031-1220
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30340851 | Medicaid | NH | |
| 0140741 | Other | NH | UHC |
| 437820 | Other | NH | CIGNA |
| S45443 | Other | NH | ANTHEM UPIN REFERRAL # |
| 030001 | Other | NH | TUFTS |
| S45443 | Other | NH | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1831191659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1073501979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"address_2": "199 ROUTE 101",
"city": "AMHERST",
"state": "NH",
"postal_code": "030311220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEETING PLACE PLAZA 199 ROUTE 101",
"city": "AMHERST",
"state": "NH",
"postal_code": "030311734",
"telephone_number": "603-249-3000",
"fax_number": "603-249-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBURG",
"first_name": "KATHLEEN",
"middle_name": "D.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "030002-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30340851",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0140741",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "437820",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM UPIN REFERRAL #",
"identifier": "S45443",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "030001",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "S45443",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.