Active NPI
Linda Vanderbeek
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1083862288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2867
- Practice address
- 5651 N 7TH St
Phoenix, AZ 85014-2500 - Phone
- (602) 263-4274
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2867 | AZ | Primary |
Addresses
Primary practice location
5651 N 7TH St
Phoenix, AZ 85014-2500
Mailing address
5651 N 7TH St
Phoenix, AZ 85014-2500
Phone (602) 263-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2627 N 3Rd St
Phoenix, AZ 85004-1194
Phone (602) 307-9919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2867 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood | Past | Accepting new patients | |
| Planned Parenthood Arizona | Past | Accepting new patients | |
| Planned Parenthood Arizona | Past | Accepting new patients | |
| Planned Parenthood Arizona | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1154.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1083862288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142500",
"telephone_number": "602-263-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142500",
"telephone_number": "602-263-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERBEEK",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.