Kirsten Zedlar Vanderzee

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1393 Issued in NC

Practice address

418B W Mountain St
Kernersville, NC 27284-2534

Phone

(704) 780-4271

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1649823543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 BROOKLAND DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128705",
            "telephone_number": "336-655-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418B W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842534",
            "telephone_number": "704-780-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Battleground Ave Apt 167",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108402",
            "country_code": "US",
            "telephone_number": "336-655-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERZEE",
        "first_name": "KIRSTEN",
        "middle_name": "ZEDLAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Kernersville)
• Meredith Morphis Usrey, ACSM-CEP
• Colleen Marie Uzenski, MS, OT/L
• Zachary Bryan Vance, DDS
• Jeffrey Lynn Vanderburg, NP
• Jamie L Vaughn, LCSW
• Audrey Vega
• Veronica S Walker DDS PLLC
• Pamela Hope Vetsch, FNP-C
• Jordan Donald Vice, DMD

• Behavior Analyst in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.