Individual provider Active NPI

Aletta Jane Vandergriff

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1912466475
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25711 Issued in TN
Practice address
2020 Westland Dr SW
Cleveland, TN 37311-8163
Phone
(423) 478-1970
Fax
(423) 614-5270
NPI assigned
Mar 14, 2019
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25711 TN Primary

Addresses

Primary practice location

2020 Westland Dr SW
Cleveland, TN 37311-8163

Mailing address

645 Paul Huff Pkwy NW Ste 105
Cleveland, TN 37312-3150
Phone (423) 790-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20190802002799 TN Practitioner - Nurse Practitioner 0749517472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocoee Regional Health Corporation CurrentSince Mar 20, 2025 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Ocoee Regional Health Corporation CurrentSince Dec 5, 2020 Accepting new patients
Ocoee Regional Health Corporation CurrentSince Dec 5, 2020 Accepting new patients
Jeff Hall Inc PastSince May 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aletta.vandergriff.p1@direct.orhc.nextgenshare.com
  • Direct secure messaging: alettavandergriff@tnmhpf.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1912466475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PAUL HUFF PKWY NW STE 105",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123150",
            "telephone_number": "423-790-7750",
            "fax_number": "423-790-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WESTLAND DR SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118163",
            "telephone_number": "423-478-1970",
            "fax_number": "423-614-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFF",
        "first_name": "ALETTA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.