Active NPI
Carla M Vandernoord, RN
- Registered Nurse
- Munster, IN
National Provider Identifier
1902214729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28212392A
- Practice address
- 8808 Columbia Ave
Munster, IN 46321 - Phone
- (219) 836-3200
- Fax
- (219) 836-3215
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28212392A | IN | Primary |
Addresses
Primary practice location
8808 Columbia Ave
Munster, IN 46321
Mailing address
8616 Colombia Ave
School Town of Munster
Munster, IN 46321
Phone (219) 836-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28212392A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School Town of Munster | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Munster, IN
- NPI 1649487976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1902214729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 COLOMBIA AVE",
"address_2": "SCHOOL TOWN OF MUNSTER",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-836-9111",
"fax_number": "219-836-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8808 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-836-3200",
"fax_number": "219-836-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERNOORD",
"first_name": "CARLA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28212392A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.