Active NPI
Wendy Vandyke, GNP-BC
- Gerontology Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 667620
- Practice address
- 2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650 - Phone
- (210) 599-6000
- Fax
- (210) 657-5586
- NPI assigned
- Jan 24, 2012
- Last updated
- Feb 19, 2018
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 667620 | TX | Primary |
Addresses
Primary practice location
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Mailing address
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Phone (210) 599-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP119635 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 667620 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Health Aftx PC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Gerontology | Current | Accepting new patients |
| Wendys Seniorcare Consulting, LLC | Gerontology | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients |
Locations
407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
11106 Christus Hls
San Antonio, TX 78251
Phone (210) 240-8241
5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800
1003 Columbia St
Stamford, TX 79553
Phone (325) 773-3671
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Stamford, TX
- NPI 1174384259
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Gerontology, TX
-
- Gerontology Nurse Practitioner
- San Antonio, TX
- NPI 1861074700
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1942829155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1275804197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410 STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175650",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYKE",
"first_name": "WENDY",
"name_prefix": "Mrs.",
"credential": "GNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "667620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP119635",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.