Sandra Carol Vancalcar, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

1299 Issued in WI

Practice address

840 SW Gaines St
Portland, OR 97239-2904

Phone

(608) 712-2723

NPI assigned

Jan 5, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

99.11 of 100Reported as apm

Quality

84.29

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University Professional Services

  • General Practice Physician
  • Portland, OR
  • NPI 1376709535
  Medicare reassignment NPD
• University Professional Services

  • Pharmacy
  • Beaverton, OR
  • NPI 1073054714
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1790832152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW GAINES RD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972390001",
            "telephone_number": "608-712-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW GAINES ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392904",
            "telephone_number": "608-712-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCALCAR",
        "first_name": "SANDRA",
        "middle_name": "CAROL",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WI",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN",
            "identifier": "710770",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSING BOARD",
            "identifier": "LDD10164644",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thien-Huong Theresa Van, PA
• Marika Joanna Vanadelsberg
• Lisa Ann Vanalstine, L.M.T.
• Courtney Lynn Vanbriesen, PHARMD.
• Elizabeth Vanbuecken, LMFT, RDT
• Heidi Elizabeth Grompe Vancampen
• Andrea L Vance, MSW, LCSW
• Cammi Vance, DC, LMT
• Julia M Vance, MS, CNM
• Keeona G Vance

• Metabolic Nutrition Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Metabolic Nutrition Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.