Sarah Marie Vanden Berge

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-134672 Issued in ZZ

Practice address

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Phone

(616) 685-5602

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baby Beloved, Inc.

  • Registered Nurse
  • Grand Rapids, MI
  • NPI 1891742623
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1821715970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 SUMMERHILL CT",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-685-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Fulton St E # 114E",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033200",
            "country_code": "US",
            "telephone_number": "616-485-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEN BERGE",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704275262",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ZZ",
            "license": "L-134672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheLactationNetwork",
            "affiliation": "Y",
            "affiliationName": "Baby Beloved, Inc.",
            "address_1": "233 Fulton St E # 114E",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495033200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stason Schafer Vandegrift, MD
• Erica Vandekerckhove
• Catherine Anne Vandekieft
• Emma Kay Vandekieft, PTA
• Carol Vandelin, M.S.W.
• Joseph Yared Vanden Bosch, MD
• Alicia Beth Vanden Bussche Jantz, PHD
• Kristin Kay Vanden Hoek, PSYD
• Caryn Jean Vandenberg, M.D.
• Emily Vandenberg

• Lactation Consultant (Registered Nurse) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Lactation Consultant (Registered Nurse) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.