Individual provider Active NPI

Jennifer M Vondeesten, NP334

  • Naturopath
  • Farmingdale, ME
National Provider Identifier
1609001015
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NP334 Issued in ME
Practice address
484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903
Phone
(207) 582-2323
Fax
(207) 588-0294
NPI assigned
May 29, 2009
Last updated
May 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NP334 ME Primary

Addresses

Primary practice location

484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903

Mailing address

484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903
Phone (207) 582-2323

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

State licenses

LicenseStateTypeSpecialty
NP334MEMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Community Wellness Center Past Accepting new patients

Organizations & group practices 1

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1609001015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MAINE AVE STE 2D",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043442903",
            "telephone_number": "207-582-2323",
            "fax_number": "207-588-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAINE AVE STE 2D",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043442903",
            "telephone_number": "207-582-2323",
            "fax_number": "207-588-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDEESTEN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "NP334",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ME",
            "license": "NP334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.