Nicolette Vandenberg, is a
Peer Specialist based in Spokane, Washington. Nicolette Vandenberg is licensed to practice in * (Not Available) (license number ) and her current practice location is
210 W Sprague Ave, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 249-1669.
NPI number for Nicolette Vandenberg is 1558960237 and her current mailing address is 210 W Sprague Ave, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558960237.
Healthcare Provider's Profile
| Full Name | Nicolette Vandenberg |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 210 W Sprague Ave, Spokane, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558960237
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 02/09/2026
Medical Identifiers
Medical identifiers for Nicolette Vandenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558960237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolette Vandenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicolette Vandenberg, 210 W Sprague Ave, Spokane, WA 99201-3816 Ph: (509) 747-8224 | Nicolette Vandenberg, 210 W Sprague Ave, Spokane, WA 99201-3627 Ph: (206) 249-1669 |
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