Rachel Cecile Vandemark

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP61297705 Issued in WA

Practice address

4840 Journey St SE
Olympia, WA 98513-6779

Phone

(360) 459-5312

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nisqually Indian TribeGroup PAC ID 7618966938, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.vandemark@nthc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nisqually Indian Tribe

  • Clinic/Center
  • Olympia, WA
  • NPI 1477745925

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1740814896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 JOURNEY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136779",
            "telephone_number": "360-459-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 JOURNEY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136779",
            "telephone_number": "360-459-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEMARK",
        "first_name": "RACHEL",
        "middle_name": "CECILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61297705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Van Dalsem, SPCT
• John Richter Van Eenwyk, PHD
• Leah J Van Tiem, CLINICIAN
• Kelli Vance
• Gregg K Vandekieft, M.D.
• Monta Vander-Heyden, RN
• Dawn M Vanderhoef, PHD, DNP, APRN
• Elizabeth K Vanderhoof
• Renee Vanmatre
• Vanquaethem Chiropractic Clinic

• Pediatric Nurse Practitioner in Olympia, WA
• Providers in Olympia, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.