MARIELLE VANDERVENNEN MD – NPI #1194252676
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MARIELLE VANDERVENNEN is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1194252676 to MARIELLE VANDERVENNEN on May 16, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Apr 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIELLE VANDERVENNEN below.

NPI Profile for
MARIELLE VANDERVENNEN

NPI Number
1194252676
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARIELLE VANDERVENNEN
Credentials
MD
Primary location
4288 3 MILE RD NW STE 1
GRAND RAPIDS, MI 49534-7596
Phone: (616) 458-3677 Fax:
1 Other location(s):
4174 56th St SW
Wyoming, MI 49418-2899
Phone: (616) 458-3677
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MI 4301111845

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
EPIC
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1234 NAPIER AVE,
SAINT JOSEPH, MI 77025-1669