Frieda Godelieve Vandegaer, RN, PMH-CNS, BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN251626L Issued in PA

Practice address

10000 Anns Choice Way
Warminster, PA 18974-3527

Phone

(215) 443-3850

Fax

(215) 443-3963

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Frieda Godelieve Vandegaer-Cannon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1356645006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 RESEARCH PARK DR",
            "address_2": "4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284873",
            "telephone_number": "215-443-3850",
            "fax_number": "215-443-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 ANNS CHOICE WAY",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743527",
            "telephone_number": "215-443-3850",
            "fax_number": "215-443-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGAER",
        "first_name": "FRIEDA",
        "middle_name": "GODELIEVE",
        "name_prefix": "Ms.",
        "credential": "RN, PMH-CNS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN251626L",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN251626L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRIEDA",
            "last_name": "VANDEGAER-CANNON",
            "middle_name": "GODELIEVE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Warminster, PA
• Providers in Warminster, PA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.