Diane Marie Vancamp

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

5302410869 Issued in MI

Practice address

8501 Meadow CRK
Rockford, MI 49341-7524

Phone

(616) 825-7625

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

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

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1740849611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SEWARD AVE NW STE 320",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 MEADOW CRK",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417524",
            "telephone_number": "616-825-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCAMP",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302410869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trufant Chiropractic Center, LLC (Cultivate Health Chiropractic)
• Katie Anne Trusty, BT
• Justin Champion Ullrey, O.D.
• Olivia Van Der Maas, BT
• Kelly Van Kampen, ATC
• Sara Lynn Vance, LMSW
• Linda Marie Vandenbosch, MD
• Kayla Marie Vanderlaan, M.A., CCC-SLP
• Kristin Vanderwell, RN
• Leah Vanenk, D.O.

• Ambulatory Care Pharmacist in Rockford, MI
• Providers in Rockford, MI by specialty
• Ambulatory Care Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.