Active NPI
Laura Victoria Vanderburgh, NP
- Registered Nurse
- Rockport, MA
National Provider Identifier
1760093157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN12005
- Practice address
- 8 Gale Ave
Rockport, MA 01966-1134 - Phone
- (978) 578-1090
- NPI assigned
- Aug 11, 2020
- Last updated
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN12005 | MA | Primary |
Addresses
Primary practice location
8 Gale Ave
Rockport, MA 01966-1134
Mailing address
8 Gale Ave
Rockport, MA 01966-1134
Phone (978) 578-1090
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN12005 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1760093157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GALE AVE",
"city": "ROCKPORT",
"state": "MA",
"postal_code": "019661134",
"telephone_number": "978-578-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 GALE AVE",
"city": "ROCKPORT",
"state": "MA",
"postal_code": "019661134",
"telephone_number": "978-578-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERBURGH",
"first_name": "LAURA",
"middle_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN12005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, MA
- Margaret Elaine Sullivan, LICSW
- Meghan Elizabeth Taylor, RDH
- Town of Rockport
- Leslie Robinson Tryon, LMHC
- Christine E Tupper, MED
- Patricia Vesey-McGrew, NCPSYA
- Walgreen Co (Walgreens #17472)
- Sydney Melvin Wedmore, MD
- Keith Allen Wharton Jr., MD PHD
- WV-Rockport SNF Opco, LLC (Den-Mar Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.