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ELIZABETH A VANDERGAAG ARNP NPI 1174697296


NPI Information

NPI: 1174697296
Provider Name: ELIZABETH A VANDERGAAG, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
625 9TH AVENUE
STE 210
LONGVIEW, WA
ZIP 98632
Phone: (360) 501-3400
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Elizabeth A Vandergaag, ARNP is a family nurse practitioner in Longview, WA with 18 years of experience. Elizabeth A Vandergaag, ARNP NPI is 1174697296. 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:

625 9TH AVENUE
STE 210
LONGVIEW, WA
ZIP 98632-465
Phone: (360) 501-3400
Fax: (360) 423-6862

The NPI 1174697296 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

The enumeration date for this NPI number is 11/20/2006 and was last updated on 9/13/2023.


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
1163W00000XRegistered NurseRN00156835WASHINGTONNo
2363L00000XNurse PractitionerAP30007439WASHINGTONNo
3363LF0000XNurse PractitionerFamilyAP127186TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10229642OTHERWASHINGTONLABOR AND INDUSTRIES
29651027MEDICAIDWASHINGTON

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.