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DEREK VANDEWATER
NPI 1750131488
Student in an Organized Health Care Education/Training Program in Adrian, MI

Active since March 25, 2024
110 S MADISON ST, ADRIAN, MI 49221(517) 265-5161 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Vandewater NPPES

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

DEREK VANDEWATER (NPI 1750131488) is an individual student in an organized health care education/training program in Adrian, Michigan and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1750131488
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK VANDEWATER
Location Address110 S MADISON STAdrian, MI 49221-2575
Mailing Address6789 Marshall StCanton, MI 48187-1660 · (734) 558-9299
Phone(517) 265-5161
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1750131488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 S MADISON ST, Adrian, MI 49221
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ALAN BORUCKI
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (734) 536-7470
REID KEELEY BAHR
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
REBECCA ANNE NEAL
Student in an Organized Health Care Education/Training Program
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (248) 736-9660
BRANDON JAMES MOODY I
Student in an Organized Health Care Education/Training Program
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
DENISE GAMAS GONZALEZ
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (317) 370-5378
JAMES NICKNAIR
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (207) 299-6228
HANNAH BERENSON
Emergency Medicine (Sports Medicine)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
KELSIE ELIZABETH VANBEELEN
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161

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 Derek Vandewater's NPI number?

The NPI number for Derek Vandewater is 1750131488. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Derek Vandewater located?

Derek Vandewater practices at 110 S Madison St, Adrian, MI 49221. The listed phone number is (517) 265-5161.

What is Derek Vandewater's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derek Vandewater was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.