Active NPI
Kerry Lynne Vegter, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Holland, MI
National Provider Identifier
1093760134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301051083
- Practice address
- 602 Michigan Ave
Holland, MI 49423 - Phone
- (616) 394-3522
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301051083 | MI | Primary |
Addresses
Primary practice location
602 Michigan Ave
Holland, MI 49423
Mailing address
PO Box 30516
Dept. 4006
Lansing, MI 48909-8016
Phone (616) 975-1845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930001443 | Other | MI | RAILROAD MEDICARE |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1093760134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT. 4006",
"city": "LANSING",
"state": "MI",
"postal_code": "489098016",
"telephone_number": "616-975-1845",
"fax_number": "616-975-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-394-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGTER",
"first_name": "KERRY",
"middle_name": "LYNNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301051083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930001443",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.