Jill Denise Vandyke, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024168759 Issued in VA

Practice address

610 Campus Dr
Suite 110
Abingdon, VA 24210-2589

Phone

(276) 525-1474

Fax

(276) 525-1616

NPI assigned

Apr 19, 2010

Last updated

Apr 19, 2010By the provider in NPPES

Sex

Female

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highlands Community Services

  • Community/Behavioral Health Agency
  • Abingdon, VA
  • NPI 1396774147
  Medicare reassignment NPD

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1881910651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "address_2": "SUITE 110",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1474",
            "fax_number": "276-525-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "address_2": "SUITE 110",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1474",
            "fax_number": "276-525-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "JILL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Home Medical Services
• Urology Center of Southwest Virginia, Inc.
• Lindsay Ussher, DO
• Michael R Valenza, AU.D., CCC-A
• Taylor Lynne Sophia Vanders, PT, DPT
• Hugh Gregory Vanwinkle
• Courtney Varbanoff, DO
• Nathan Adam Varbanoff, D.O.
• Jordan Varney, BCBA
• Amit Surendra Vashist, MD

• Family Nurse Practitioner in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.