Sarah Koop Vandeven, MSN, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704255877 Issued in MI

Practice address

970 Parchment Dr SE
Grand Rapids, MI 49546-3662

Phone

(717) 843-6663

NPI assigned

Sep 18, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Grand Rapids Allergy PLC

  • Allergy & Immunology Physician
  • Grand Rapids, MI
  • NPI 1417001892

  Nurse Practitioner

  Medicare reassignment NPD
• Asthma & Allergy Center LLC

  • Allergy & Immunology Physician
  • Rockville, MD
  • NPI 1912089335
  NPD (past)
• Maryland Asthma and Allergy Center CHTD

  • Specialist
  • Baltimore, MD
  • NPI 1720014269
  NPD (past)

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1295720092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PARCHMENT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463662",
            "telephone_number": "616-949-4840",
            "fax_number": "616-949-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PARCHMENT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463662",
            "telephone_number": "717-843-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVEN",
        "first_name": "SARAH",
        "middle_name": "KOOP",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R160912",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008691",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704255877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Vandeusen, LMSW
• Karen M Vandeusen, PHD
• Zachary Thomas Vandeveer, MD
• Jennafer Ann Vandevegte, PT
• Christopher Everett Vandeven, D.D.S.
• Margaret Vandewater, NP
• Catherine Anne Vandewege, LMSW, CAADC
• Courtney Ann Vandewege, ATC
• Veronica Sarah Vandewege, NP
• Laurie Vandezande

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.