Individual provider Active NPI

Laura D Vandermartin, RN

  • Case Management Registered Nurse
  • Fort Richardson, AK
National Provider Identifier
1902876592
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
700025 Issued in TX
Practice address
Troop Medical Clinic
724 Postal Service Loop #7499
Ft Richardson, AK 99505
Phone
(907) 384-0600
NPI assigned
Jan 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 700025 TX Primary

Addresses

Primary practice location

Troop Medical Clinic
724 Postal Service Loop #7499
Ft Richardson, AK 99505

Mailing address

122A Iliamna Ave
Ft Richardson, AK 99505-1011
Phone (907) 384-1408

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

LicenseStateTypeSpecialty
700025TXMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902876592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A ILIAMNA AVE",
            "city": "FT RICHARDSON",
            "state": "AK",
            "postal_code": "995051011",
            "telephone_number": "907-384-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TROOP MEDICAL CLINIC",
            "address_2": "724 POSTAL SERVICE LOOP #7499",
            "city": "FT RICHARDSON",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-384-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMARTIN",
        "first_name": "LAURA",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "700025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Richardson, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.