Active NPI
Kristan Diane Vanderhoof, LCSW
- Social Worker
- Rush, KY
National Provider Identifier
1184421802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 260068
- Practice address
- 2901 Pigeon Roost Rd
Rush, KY 41168-8132 - Phone
- (606) 928-6648
- Fax
- (606) 928-1056
- NPI assigned
- Feb 28, 2025
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 260068 | KY | Primary |
Addresses
Primary practice location
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Mailing address
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260068 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramey Estep Homes, Inc | Current | Accepting new patients | |
| Ramey-Estep Homes, Inc | Current | Accepting new patients | |
| Ramey-Estep Homes, Inc | Current | Accepting new patients |
Locations
835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400
10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120
2901 Pigeon Roost Rd
Ste B
Rush, KY 41168
Phone (606) 547-4400
2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Rush, KY
- NPI 1902145832
-
- Multi-Specialty Clinic/Center
- Rush, KY
- NPI 1710707765
-
- Rural Health Clinic/Center
- Rush, KY
- NPI 1831916022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1184421802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 PIGEON ROOST RD",
"city": "RUSH",
"state": "KY",
"postal_code": "411688132",
"telephone_number": "606-928-6648",
"fax_number": "606-928-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 PIGEON ROOST RD",
"city": "RUSH",
"state": "KY",
"postal_code": "411688132",
"telephone_number": "606-928-6648",
"fax_number": "606-928-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHOOF",
"first_name": "KRISTAN",
"middle_name": "DIANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "260068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rush, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.