Adrianne Gabrielle Valerie Vandiver, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

33063 Issued in TN

Practice address

1003 E Jackson Blvd Ste 3
Jonesborough, TN 37659-1531

Phone

(423) 753-6077

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Adrianne Gabrielle Valerie Cable Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonesborough Medical Center

  dba Doctor's Care

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1376074385
  NPD (past)
• Jonesborough Medical PLLC

  • Preferred Provider Organization
  • Jonesborough, TN
  • NPI 1841403243
  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1467165431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RHETTS WAY",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376593080",
            "telephone_number": "423-895-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E JACKSON BLVD STE 3",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591531",
            "telephone_number": "423-753-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 W Market St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045127",
            "country_code": "US",
            "telephone_number": "423-928-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "ADRIANNE",
        "middle_name": "GABRIELLE VALERIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "33063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33063",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "33063",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANNE",
            "last_name": "CABLE",
            "middle_name": "GABRIELLE VALERIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerome Patrick Tina
• Sydney Mikell Townsend
• McKenzie Paige Tucker
• Seranie Cassandra Turner
• Tyler Fyfe, DMD, PLLC
• Melissa Varrecchia, LCSW
• Lacey Ann Viano
• Jessica Halsey Villier, FNP
• Walgreen Co (Rite Aid # 1728)
• Walgreen Co (Walgreens #13660)

• Nurse Practitioner in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.