Karen M Vandewege, R.N.,BSN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

51832 Issued in CO

Practice address

1525 Blue Spruce Dr
Fort Collins, CO 80524-2004

Phone

(970) 498-6756

Fax

(970) 498-6772

NPI assigned

May 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467653659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 PURPLE SAGE CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263042",
            "telephone_number": "970-223-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242004",
            "telephone_number": "970-498-6756",
            "fax_number": "970-498-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWEGE",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "R.N.,BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "51832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07518327",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Vander Broek
• Jacob Vander Leest, ,MACP, ADDC
• Shonny H Vander Vliet, ATC
• Christina Vanderbeek, LPC, MA
• Jay Vanderwerff, LCSW, LAC
• Suzette Denise Vandivier, PA-C
• Cynthia K Vanfarowe, M.D.
• Katie Vangraefschepe
• Brandon Vanhessche, D.O.
• Melanie A Vanhook, M.S.N., F.N.P

• Pediatric Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• 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.