Regina Jo Vanderklok, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501002836 Issued in MI

Practice address

4598 Plainfield Ave NE
Grand Rapids, MI 49525-1645

Phone

(616) 364-0090

Fax

(616) 364-7441

NPI assigned

Jan 10, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Ruhling Enterprises Inc

  • Hearing Aid Equipment
  • Grand Rapids, MI
  • NPI 1619143518

  Hearing Instrument Specialist

  NPD (past)
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1215087762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4598 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251645",
            "telephone_number": "616-364-0090",
            "fax_number": "616-364-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251645",
            "telephone_number": "616-364-0090",
            "fax_number": "616-364-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKLOK",
        "first_name": "REGINA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501002836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4836981",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540D10522",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rachelle Vanderkamp
• Steven Vanderkamp
• Vanessa Vanderkamp, NP
• Zachary Vanderkamp, PT, DPT
• Amanda Vanderklok
• Stacey M Vanderklok, LMSW
• Cynthia M Vanderkodde
• Karla Vanderkodde, LMSW
• Henry L Vanderkolk, MD
• Lindsey Vanderkooi

• Hearing Instrument Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.