Courtney Vandergrift

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

21106 Creek Side Dr SW
Westernport, MD 21562-2001

Phone

(301) 723-0144

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2021.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1104435346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21106 CREEK SIDE DR SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21106 CREEK SIDE DR SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622001",
            "telephone_number": "301-723-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFT",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jo Thomas, RN
• Tri-Towns Ambulance Inc
• Mary Patricia Trumbule, LCSW-C
• Vicky Lynn Umstot, OTR/L
• Upmc Western Maryland Health Services, LLC
• Keiley Michele Vandergrift
• Vincent F. Fiorentino, DDS, PC
• Hannah Elizabeth Warner, PA-C
• Western Maryland Health Care Corporation
• Western Maryland Health Care Corporation

• All providers in Westernport, MD
• Personal Care Attendant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.