Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407215189 Individual Practitioner Female Practitioner

Carolyn Vandermark

Licensed Practical Nurse • Milford, OH

Professional Overview & Biography Verified Profile Summary

Carolyn Vandermark is a registered healthcare professional specializing in Licensed Practical Nurse in Milford, OH. Practice services are available at 25 WHITNEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 Whitney Dr

Milford, OH 451508402

Telephone 5139698768
Fax 9372584261
Associated Practice Facility / Clinic
🏢 Vistacare Usa, Inc. Facility NPI 1265487615

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Milford, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Milford, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN153433-M-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Julie Mccoy

Counselor

NPI 1194079459
Melissa Buck , MS, LPCC-S

Counselor - Professional

NPI 1205180908

Master of Science, LPCCS

NPI 1255685038

Licensed Professional Counselor

Courtney James

Registered Nurse

NPI 1457119364
Robin Holmes , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1548048747

Registered Nurse

NPI 1588918213

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 01, 2024

Registered at 25 WHITNEY DR, MILFORD, OH 451508402 (Tel: 5139698768)

📍
Updated Business Mailing Address March 01, 2024

Registered at 25 WHITNEY DR, MILFORD, OH 451508402 (Tel: 5139698768)

👤
Provider Name / Credentials Updated March 01, 2024

Recorded as CAROLYN VANDERMARK

NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2017

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372584235)

📍
Updated Business Mailing Address February 07, 2017

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372584235)

👤
Provider Name / Credentials Updated February 07, 2017

Recorded as CAROLYN SULLENBARGER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Licensed Practical Nurse (License #PN153433-M-IV in OH)

NPI Profile Active February 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2016

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372584235)

📍
Updated Business Mailing Address February 23, 2016

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372584235)

👤
Provider Name / Credentials Updated February 23, 2016

Recorded as CAROLYN MOTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2016

Licensed Practical Nurse (License #PN153433-M-IV in OH)

🟢
Initial NPI Registration & Enumeration February 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407215189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2016
Last Update: March 01, 2024
Sole Proprietor: Yes

Mailing Address

25 Whitney Dr

Milford, OH 451508402

Phone: 5139698768

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.