HOLLY VANDEMAN MD
NPI 1790425320
Student in an Organized Health Care Education/Training Program in Tampa, FL
About Holly Vandeman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY VANDEMAN MD (NPI 1790425320) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Vandeman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
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 Holly Vandeman's NPI number?
The NPI number for Holly Vandeman is 1790425320. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Holly Vandeman located?
Holly Vandeman practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (813) 974-2201.
What is Holly Vandeman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Holly Vandeman enrolled in Medicare?
Yes. Holly Vandeman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Holly Vandeman was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Holly Vandeman, MD · NPI 1790425320
Student in an Organized Health Care Education/Training Program provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1790425320 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17 DAVIS BLVD STE 308, Tampa, FL 33606-3438
- **Phone:** (813) 974-2201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790425320) · Data from the CMS NPPES public registry.