Harry Ernest Vandervort III, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

88-000106 Issued in OR

Practice address

4000 E 30TH Ave
Eugene, OR 97405-0640

Phone

(541) 463-5665

Fax

(541) 463-4164

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Duke Vandervort Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lane Community College Health Clinic

  • Student Health Clinic/Center
  • Eugene, OR
  • NPI 1497970891
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295856532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E 30TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050640",
            "telephone_number": "541-463-5665",
            "fax_number": "541-463-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E 30TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050640",
            "telephone_number": "541-463-5665",
            "fax_number": "541-463-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVORT",
        "first_name": "HARRY",
        "middle_name": "ERNEST",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "88-000106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "88-000106",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUKE",
            "last_name": "VANDERVORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shaneen Kaye Vandehey, P.S.S.
• Angela Vanderbelt Gleim
• Corby Marie Vandermarliere, CADCI
• Kaylee Jean Vandermarliere
• Hilary Vanderveer
• Grace Vangel, M.S. CCC-SLP
• Joyce A Vanhall
• Noah Vanhorn-Morris, BS
• Eric Tuckley Vanhouten, M.S.W.
• Bob Richard Vaniderstine

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.