Individual provider Active NPI

Deirdre R Vander Schaaf, FNP

  • Family Nurse Practitioner
  • Coopers Mills, ME
National Provider Identifier
1437381084
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP91043 Issued in ME
Practice address
47 Main Street
Sheepscot Valley Health Center
Coopers Mills, ME 04341
Phone
(207) 549-7581
Fax
(207) 549-3439
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP91043 ME Primary

Addresses

Primary practice location

47 Main Street
Sheepscot Valley Health Center
Coopers Mills, ME 04341

Mailing address

47 Main Street
Sheepscot Valley Health Center
Coopers Mills, ME 04341
Phone (207) 549-7581

Other identifiers 1

IdentifierTypeStateIssuer
434717099MedicaidME

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

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1437381084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAIN STREET",
            "address_2": "SHEEPSCOT VALLEY HEALTH CENTER",
            "city": "COOPERS MILLS",
            "state": "ME",
            "postal_code": "04341",
            "telephone_number": "207-549-7581",
            "fax_number": "207-549-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN STREET",
            "address_2": "SHEEPSCOT VALLEY HEALTH CENTER",
            "city": "COOPERS MILLS",
            "state": "ME",
            "postal_code": "04341",
            "telephone_number": "207-549-7581",
            "fax_number": "207-549-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER SCHAAF",
        "first_name": "DEIRDRE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP91043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434717099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopers Mills, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.