Tracy Lynee Vanderschaaf, R, M, MR

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

240876

Practice address

511 E 23Rd St
Panama City, FL 32405-5307

Phone

(850) 747-1140

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1598873663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50128 130TH AVE",
            "city": "LAURENS",
            "state": "IA",
            "postal_code": "505548522",
            "telephone_number": "850-832-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055307",
            "telephone_number": "850-747-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHAAF",
        "first_name": "TRACY",
        "middle_name": "LYNEE",
        "credential": "R, M, MR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "050748",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": "240876",
            "primary": true
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": null,
            "license": "240876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Valle
• Jennifer Van Berkum, LCSW
• Nicole Diane Van Pelt, PT
• Caryl Ann Vandeboe, CCC-A
• Lori Vanderhoof, CPO, LPO
• Suellyn Vanderslice, PHD
• Kelly Vanhuisen, LMHC
• Samantha D Vanlandingham
• Tanya Dee Varnum, LMHC
• Vascular Associates LLC

• Magnetic Resonance Imaging Radiologic Technologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.