Individual provider Active NPI

Brittany Stead Vanderpoel, NP

  • Adult Health Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1407197676
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN270316 Issued in MA
Practice address
1 Monarch PL
10TH Floor
Springfield, MA 01144-1099
Phone
(413) 734-2000
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN270316 MA Primary
Gerontology Nurse Practitioner 363LG0600X RN270316 MA

Addresses

Primary practice location

1 Monarch PL
10TH Floor
Springfield, MA 01144-1099

Mailing address

20 Neptune Rd
Worcester, MA 01605-3818
Phone (617) 319-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN270316MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Clinical Services PC PastSince Sep 1, 2012 Accepting new patients
Accountable Care Practice Services PC PastSince Sep 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1407197676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NEPTUNE RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053818",
            "telephone_number": "617-319-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MONARCH PL",
            "address_2": "10TH FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011441099",
            "telephone_number": "413-734-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOEL",
        "first_name": "BRITTANY",
        "middle_name": "STEAD",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN270316",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN270316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.