Provider Demographics
NPI:1528094372
Name:VANSTEE, VANESSA L (MD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:L
Last Name:VANSTEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 SOUTHAMPTON RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1321
Mailing Address - Country:US
Mailing Address - Phone:413-628-5187
Mailing Address - Fax:413-321-0170
Practice Address - Street 1:212 SOUTHAMPTON RD UNIT B
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1321
Practice Address - Country:US
Practice Address - Phone:413-628-5187
Practice Address - Fax:413-321-0170
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218642208M00000X, 207K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3394242OtherAETNA
MA043194547OtherCIGNA
MA2024781Medicaid
MAJ27042OtherBCBS OF MA
MAAA36002OtherHARVARD PILGRIM HEALTH PL
MA468634OtherTUFTS HEALTH PLAN
MA000000030213OtherBMC HEALTHNET
MA33434OtherHEALTH NEW ENGLAND
MA218642OtherCONNECTICARE
MAAA36002OtherHARVARD PILGRIM HEALTH PL
MAS400181777Medicare UPIN
MAA36247Medicare ID - Type Unspecified