Active NPI
Mary Katelyn Vanderham, BA
- Acupuncturist
- New Columbia, PA
National Provider Identifier
1558799296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- KO000668
- Practice address
- 3044 Pleasant View Rd
New Columbia, PA 17856-9133 - Phone
- (720) 454-7437
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KO000668 | PA | Primary |
Addresses
Primary practice location
3044 Pleasant View Rd
New Columbia, PA 17856-9133
Mailing address
3044 Pleasant View Rd
New Columbia, PA 17856-9133
Phone (720) 454-7437
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)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KO000668 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1558799296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 PLEASANT VIEW RD",
"city": "NEW COLUMBIA",
"state": "PA",
"postal_code": "178569133",
"telephone_number": "720-454-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 PLEASANT VIEW RD",
"city": "NEW COLUMBIA",
"state": "PA",
"postal_code": "178569133",
"telephone_number": "720-454-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHAM",
"first_name": "MARY",
"middle_name": "KATELYN",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Columbia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.