Jennifer Lynn Vandagriff

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136034 Issued in TX

Practice address

3621 Doris Dr
Amarillo, TX 79109-4401

Phone

(806) 282-2280

Fax

(806) 282-2280

NPI assigned

Nov 1, 2017

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Allergy Arts LLP

  • Rheumatology Physician
  • Amarillo, TX
  • NPI 1659342061

  Family

  Medicare reassignment NPD
• Ammar Jarrous MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Amarillo, TX
  • NPI 1811172422
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1407368350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 DORIS DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094401",
            "telephone_number": "806-282-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 DORIS DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094401",
            "telephone_number": "806-282-2280",
            "fax_number": "806-282-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAGRIFF",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Vallilee
• Valmed Pharmacy Solutions, LLC
• Rosa Valverde, PTA
• Natalie Jane Van Noy
• Carin Marie Vance, FNP
• Sengphet Vangvanh
• Linda Cox Vanmarter, PHYSICAL THERAPIST
• Laura Vara
• Jessica Renee Vargas
• Darrell Wayne Varner, LCSW

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.