MEDICARE: JANTINA VANDERLINDE MD MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	010248722	VA
2	207Q00000X	Family Medicine Physician	D0071332	MD
3	207Q00000X	Family Medicine Physician	038257	DC
4	207Q00000X	Family Medicine Physician	MD 038257	DC

General Provider Information

NPI Number	:	1396808416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANTINA VANDERLINDE MD MPH

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE MEDICARE ENROLLMENT
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 PENNSYLVANIA AVE NW
Second Line	:	KAISER PERMANENTE WEST END MEDICAL CENTER
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3202
Country	:	US
Telephone Number	:	703-237-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	01/07/2022

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