Jessica Lynn Vanderlist, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704221454 Issued in MI

Practice address

401 W Greenlawn Ave
Lansing, MI 48910-2819

Phone

(517) 975-7295

NPI assigned

Aug 23, 2006

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton

  • Critical Access Hospital
  • Saint Johns, MI
  • NPI 1093809824
  Medicare reassignment NPD
• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  Medicare reassignment NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow CRNA Services

  • Anesthesiology Physician
  • Lansing, MI
  • NPI 1366498107
  Medicare reassignment
• Capital Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lansing, MI
  • NPI 1295794717
  NPD
• Emergency Medical Associates, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1346227626
  NPD
• Sparrow Clinton Hospital

  dba SMG St Johns

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  NPD
• Sparrow Clinton Hospital

  dba Sparrow Clinton Hospital CRNA Services

  • Certified Registered Nurse Anesthetist
  • Saint Johns, MI
  • NPI 1326138173

  Nurse Anesthetist, Certified Registered

  NPD
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1356457055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 OXFORD RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232628",
            "telephone_number": "517-402-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "517-975-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLIST",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704221454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lorraine Vandenbussche
• Eliana Michelle Vander Lugt
• Tim L Vander Molen, PH.D., LLP
• Jeanne Monique Vander Waal, COTAL
• Patricia Vanderlip, RN
• Stephanie Vanderstelt, D.O.
• Angelica Vanderzee
• Jeannine R Vandeusen
• Rachel Vandeven
• Kellie K Vandoren, RN

• Certified Registered Nurse Anesthetist in Lansing, MI
• Providers in Lansing, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.