Individual provider Active NPI

Vande Cox, CFNP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1508867284
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000679A Issued in IN
Practice address
901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0520
Phone
(812) 473-2642
Fax
(812) 474-4458
NPI assigned
Aug 3, 2005
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71000679A IN Primary
Family Nurse Practitioner 363LF0000X 1100617 KY

Addresses

Primary practice location

901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0520

Mailing address

901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0520
Phone (812) 473-2642

Other identifiers 3

IdentifierTypeStateIssuer
71000679AOtherININ LICENSE
1100617OtherKYKY LICENSE
P00897777OtherINRR MEDICARE

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
1100617KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Heartcare Inc Current Accepting new patients
Ohio Valley Heartcare Inc Past Accepting new patients

Locations

611 Harriet St
#206
Evansville, IN 47710

901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725

914 N Elm St
Henderson, KY 42420
Phone (270) 830-6651

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1508867284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR",
            "address_2": "SUITE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140520",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR",
            "address_2": "SUITE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140520",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "VANDE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000679A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1100617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "71000679A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "1100617",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00897777",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.