Renae Vangelderen, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

18494 Issued in MN

Practice address

607 W Main St
Suite 200
Marshall, MN 56258-3169

Phone

(507) 537-6713

NPI assigned

May 10, 2013

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Health and Human Services

  • Public Health or Welfare Agency
  • Marshall, MN
  • NPI 1700873601
  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1124463633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583169",
            "telephone_number": "507-537-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELDEREN",
        "first_name": "RENAE",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 142351-8",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "18494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Ramona Van Watermeulen Fales
• Bobbi Jo Vandendriessche
• Ramy Vandendriessche, DPT
• Wendy A Vanderkooi, CRNA
• Lucky Vang, D.O.
• Megan Christine Vangsness, RN, BSN, PHN
• Katrin Suzanne Vanhecke, PHARMD
• Sarah Vanhoudt
• Linda Vaniperen
• Katrina Marie Vansickle

• Community Health Registered Nurse in Marshall, MN
• Providers in Marshall, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.