SAMANTHA VANDENBERG FNP
NPI 1629870100
Nurse Practitioner - Family in Grand Rapids, MI

Q: What is Samantha Vandenberg's NPI number?

The NPI number for Samantha Vandenberg is 1629870100. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Samantha Vandenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 26, 2025

4820 CASCADE RD SE STE B, GRAND RAPIDS, MI 49546(616) 965-9449 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Samantha Vandenberg Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA VANDENBERG FNP (NPI 1629870100) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704320926) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1629870100

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA VANDENBERGCredential: FNP

Location Address4820 CASCADE RD SE STE BGrand Rapids, MI 49546-3785

Mailing Address4820 Cascade Rd Se Ste BGrand Rapids, MI 49546-3785 · (616) 965-9449

Phone(616) 965-9449

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1629870100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704320926

4820 CASCADE RD SE STE B, Grand Rapids, MI 49546

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Vandenberg's NPI number?

The NPI number for Samantha Vandenberg is 1629870100. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Samantha Vandenberg located?

Samantha Vandenberg practices at 4820 Cascade Rd SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 965-9449.

What is Samantha Vandenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samantha Vandenberg was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.