Individual provider
MELANIE VANDERPOL, AUD
CMS NPPES lists MELANIE VANDERPOL as an individual provider record with NPI 1003017799. The current record reports a primary practice location in BOISE, ID and primary taxonomy code 231H00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1775 W STATE STREETPMB 293BOISE, ID 83702
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
231H00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 30, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.