Jenniferann Vandyken

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704362065 Issued in MI

Practice address

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477

Phone

(616) 988-3422

NPI assigned

Nov 6, 2026

Last updated

Nov 6, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1831099571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ANN ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041120",
            "telephone_number": "760-717-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 BIRCHCREST DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495065477",
            "telephone_number": "616-988-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKEN",
        "first_name": "JENNIFERANN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704362065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Vandyke
• Steven A Vandyke, M.S.W., C.S.W.
• Trisha Marie Vandyke, MA, CCC-SLP
• William K Vandyke, PH.D.
• David Joel Vandyken
• Maximus Alexander Vandyken
• Peter H Vandyken, LMSW
• Richard Alan Vandyken, MD
• Michael Allen Vaneerden, LMT
• Sarah Rene Vaneerden, R.D.

• Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.