Kimberly Eileen Vanderwerff

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014120 Issued in PA

Practice address

2 Gracedale Ave
Nazareth, PA 18064-8785

Phone

(484) 547-3178

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1083122139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 PRESIDENTIAL DR",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRACEDALE AVE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648785",
            "telephone_number": "484-547-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWERFF",
        "first_name": "KIMBERLY",
        "middle_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey George Wack, D.C.
• Megan Wagner
• Mari Wahlgren, PT
• Amy Walinger

• Occupational Therapist in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.