Dorothy Vandezande, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

7601000003 Issued in MI

Practice address

3023 N 128TH Ave
Hart, MI 49420-8246

Phone

(231) 742-2126

Fax

(231) 346-6050

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

Yes

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1780245027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N 128TH AVE",
            "city": "HART",
            "state": "MI",
            "postal_code": "494208246",
            "telephone_number": "231-742-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N 128TH AVE",
            "city": "HART",
            "state": "MI",
            "postal_code": "494208246",
            "telephone_number": "231-742-2126",
            "fax_number": "231-346-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEZANDE",
        "first_name": "DOROTHY",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "MI",
            "license": "7601000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Thorne, CMT
• Amy A Trebilcock, MA,LPC
• Alyssa Rae Trejo
• Elizabeth Turner, M.A. CCC-SLP
• Christopher R Ulrich, PA
• Derek Vangalder
• Chloe Sue Veilleux
• Paul A Wagner, DO
• Leeann R Wahr, RDH
• Lawrence Daniel Walker, D.D.S.

• All providers in Hart, MI
• Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.