Pamela Kay Vandenberg, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0014358 Issued in WA

Practice address

6212 75TH St W
Lakewood, WA 98499-8368

Phone

(253) 222-6568

Fax

(253) 272-4760

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386713287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 75TH ST W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998368",
            "telephone_number": "253-222-6568",
            "fax_number": "253-272-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 75TH ST W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998368",
            "telephone_number": "253-222-6568",
            "fax_number": "253-272-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "0014358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Van Dusen
• Brock Van Dyke
• Veronica June Capitelli Van Essche, MA, LMFT
• Joanne Tu-Ozo Van Kirk, AA
• Paula G. Van Pul, M.A.
• Vascular Surgery NW PS
• Douglas Duffield Vaskas, M.ED.
• Patrick J Vaughan, MD
• Nicole Marie Vaughn
• Olivia C Vaughn

• Specialist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.