Individual provider Active NPI

Katherine Vanderford, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Sanford, NC
National Provider Identifier
1336607464
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
269061 Issued in NC
Practice address
1135 Carthage St
Sanford, NC 27330
Phone
(919) 774-2100
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 269061 NC
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 269061 NC Primary

Addresses

Primary practice location

1135 Carthage St
Sanford, NC 27330

Mailing address

3490 Regent Branch Dr
New Hill, NC 27562-9316
Phone (252) 904-2090

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100

Other practice location 2

1135 Carthage St
Sanford, NC 27330
Phone (919) 774-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002395 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911239793 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anesthesiology Associates, P.a. CurrentSince May 7, 2023 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2023 Accepting new patients
Chatham Hospital, Inc. CurrentSince Sep 23, 2025 Accepting new patients
Chatham Hospital Inc CurrentSince Feb 3, 2026 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Aug 1, 2023 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2023 Accepting new patients
Chatham Hospital Inc CurrentSince Feb 3, 2026 Accepting new patients

Locations

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

2615 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 781-9555

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1336607464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 REGENT BRANCH DR",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275629316",
            "telephone_number": "252-904-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-774-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "27330",
            "country_code": "US",
            "telephone_number": "919-774-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERFORD",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "269061",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "269061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.