Laurie Danielle Vanderjagt

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R47242 Issued in NM

Practice address

2100 Yucca St
Santa Fe, NM 87505-5456

Phone

(505) 379-4719

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

No

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1700577301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 YUCCA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055456",
            "telephone_number": "505-379-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 YUCCA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055456",
            "telephone_number": "505-379-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERJAGT",
        "first_name": "LAURIE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "10468528",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R47242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Van Fleet
• Samia Van Hattum, LCSW
• Katia Van Horn, LMT
• Scott Van Note, LMHC
• John Robert Vanderhee, PA-C, MPAS
• Timothy J Vanderjagt, M.D.
• Saskia Vanderploeg, CASE MANAGER
• Charles Nmi Vandiver, R.PH., PH.C.
• Yvette Vandiver, OTR/L
• Blake Vanegeren

• School Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.