McKynsay Day Vanderpan, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

29304 Issued in ND

Practice address

2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013

Phone

(701) 777-6147

Fax

(701) 777-2536

NPI assigned

May 1, 2015

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1124405824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-6147",
            "fax_number": "701-777-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-6147",
            "fax_number": "701-777-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPAN",
        "first_name": "MCKYNSAY",
        "middle_name": "DAY",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "29304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Van Winkle
• Kent Leigh Vanbeek
• Cailey Joy Vancamp, COTA/L
• Ronette Jean Vandal, LAPC
• Rhiannon Vandegrift, DAT, LAT, ATC
• James W Vanlooy, MD
• Melissa Vanwynsberghe
• Cody Varnson, PHARM.D.
• Autumn Vasichek, B-MOD, CM
• Shelby Vatthauer, FNP

• Athletic Trainer in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.