Healthcare Provider Details

I. General information

NPI: 1831005677
Provider Name (Legal Business Name): KATHLEEN VANDERVOORT-CHAPEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE VANDERVOORT-CHAPEL RN

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 N TAYLOR ST
GUNNISON CO
81230-2243
US

IV. Provider business mailing address

612 W SPENCER AVE
GUNNISON CO
81230-2527
US

V. Phone/Fax

Practice location:
  • Phone: 970-765-5180
  • Fax:
Mailing address:
  • Phone: 970-765-5180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: