KRISTY LAURA VANDERGRIFF APRN NPI 1699298372

NPI Information

NPI: 1699298372
Provider Name: KRISTY LAURA VANDERGRIFF, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALEGENT CREIGHTON CLINIC

PECOS Registration: Yes

Address:
542325 US HIGHWAY 1
CALLAHAN, FL
ZIP 32011
Phone: (904) 879-4233
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Kristy Laura Vandergriff, APRN is a family nurse practitioner in Callahan, FL with 9 years of experience. Kristy Laura Vandergriff, APRN NPI is 1699298372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

542325 US HIGHWAY 1
CALLAHAN, FL
ZIP 32011-496
Phone: (904) 879-4233

The NPI 1699298372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		112224	NEBRASKA	No
2	363LF0000X	Nurse Practitioner	Family	9419429	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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