Basic Information
| Provider Information | |||||||||
| NPI: | 1396808416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VANDERLINDE | ||||||||
| FirstName: | JANTINA | ||||||||
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| Credential: | MD MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 E JEFFERSON ST | ||||||||
| Address2: | KAISER PERMANENTE MEDICARE ENROLLMENT | ||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208524908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018162424 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2100 PENNSYLVANIA AVE NW | ||||||||
| Address2: | KAISER PERMANENTE WEST END MEDICAL CENTER | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200373202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032374000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2006 | ||||||||
| LastUpdateDate: | 01/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 010248722 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D0071332 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 038257 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD 038257 | DC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.