Robert V Vardeman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

457293 Issued in TX

Practice address

1600 11TH St
Wichita Falls, TX 76301-4300

Phone

(940) 764-7000

NPI assigned

Jul 26, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Wichita Falls Anesthesia PLLC

  • Anesthesiology Physician
  • Wichita Falls, TX
  • NPI 1639636210
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1851315725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15347 FM 1954",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763100370",
            "telephone_number": "940-691-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014300",
            "telephone_number": "940-764-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDEMAN",
        "first_name": "ROBERT",
        "middle_name": "V",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "457293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "83772U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina T Vanarsdall, BCABA
• Michael Vandehey, PHD
• Jennifer D Vanderburg, BCABA
• Durleen Vanwinkle
• Diana Lynn Vardeman, NP-C
• Sarah Varela
• Bobbie Arrington Vash, MED
• Esteban Vasquez, CRNA
• Kelly Patricia Vasquez, NP
• Brittani Vaughn, LPC

• Certified Registered Nurse Anesthetist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.