Julee Vanderdasson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00050080 Issued in WA

Practice address

710 SW Rock Creek Dr
Stevenson, WA 98648-4418

Phone

(509) 427-3850

Fax

(509) 427-0188

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

No

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.

• County of Skamania

  • Community/Behavioral Health Agency
  • Stevenson, WA
  • NPI 1821175456
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2015.

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1083086730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986480369",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SW ROCK CREEK DR",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986484418",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERDASSON",
        "first_name": "JULEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00050080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skamania Physical Therapy
• Patricia Ann Stevens, LMT, DOULA BIRTH
• Stevenson Family Eye Care
• Stevenson-Carson School District
• Erin Kristine Swayze, LMP
• Susie A Veley, LMP. NCTMB
• Viriditas Naturopathic Medicine, PLLC
• Andrew Waters, LMP
• Aryonna Bella Waters, LMP / LMT
• Robin Kate Bevin Wiesner, L.AC

• All providers in Stevenson, WA
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.