Grace Vanarendonk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

371060 Issued in NC

Practice address

4861 Logistics St
Fort Liberty, NC 28307

Phone

(910) 907-8827

NPI assigned

Jan 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1114739232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NARWHAL CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141038",
            "telephone_number": "231-329-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 LOGISTICS ST",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "28307",
            "telephone_number": "910-907-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARENDONK",
        "first_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "371060",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704388824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Colleen Trucksa, RN
• John Tuepker, D.O
• Marcia Turley
• Matthew Turner
• Peter Michael Van Steyn Jr., MD
• Christopher Velligan, MD
• Danielle Nhat Uyen Vo, RPH
• Sarah M Voytko, PHARM.D
• Cuong Tuan Vuong, PHARM.D., B.S.
• Veronica Lynn Wade

• Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.