Linda Vandivert

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

20552 W 340TH St
Bethany, MO 64424-8335

Phone

(660) 425-5522

NPI assigned

Feb 16, 2019

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lvandivert177240@uihcdirect.org

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1992261788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20552 W 340TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644248335",
            "telephone_number": "660-425-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20552 W 340TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644248335",
            "telephone_number": "660-425-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVERT",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayongwi A Tazuh, PHARMACIST
• Terry E. Hall (Terry E Hall MD RHC)
• Terry E. Hall, M.D (North Missouri Family Health Center)
• Greg Irwin Terwilleger, OTR
• Della Tracy, PLSW
• Becky Elizabeth Vanness, LCSW
• Kimberly Karen Vantellman
• Truman Mark Vasko, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0834)
• Michael A Wilczek

• Clinical Social Worker in Bethany, MO
• Providers in Bethany, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.