Vancorp LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VANCORP LLC

Practice address

270 W Georgia Ave Ste 110
Nampa, ID 83686-2835

Phone

(208) 724-4125

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Bethany Vance

Title

Ceo/Member

Phone

(208) 724-4125

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1790300598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W GEORGIA AVE STE 110",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W GEORGIA AVE STE 110",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862835",
            "telephone_number": "208-724-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "208-724-4125"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Vander Woude
• Katelyn M Vanderpool
• Jennifer Vanegas, LMSW
• Michelle Vanhoof
• Jill K Vanorder-May, LPC

• Family Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.