Individual Healthcare Provider
Kathleen Mattoon Vanderbrook, N.P.
Provider's NPPES record last updated: May 19, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255340782
- Primary Specialty
- Nurse Practitioner — Adult Health
- Practice Location
- Clifton Springs, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200X
Provider-Reported License Information
- Nurse Practitioner (New York)
- F300815
Practice Locations
Practice Location
4 Coulter Rd Ste 1680
Clifton Springs, New York 14432-1122
Phone: (315) 906-4059
Additional Practice Location
20 Hagen Dr Ste 120
Rochester, New York 14625-2666
Phone: (585) 922-5300
Fax: (585) 922-0450
Additional Practice Location
165 E Union St Ste 327
Newark, New York 14513-1557
Phone: (315) 359-2661
Fax: (315) 331-6820
Additional Practice Location
875 Pre Emption Rd
Geneva, New York 14456-2042
Phone: (315) 759-5320
Fax: (315) 350-3971
Additional Practice Location
601 Elmwood Ave
Box 652
Rochester, New York 14642-0001
Phone: (585) 275-7741
Fax: (585) 244-4320
Record Information
- Enumeration Date
- August 5, 2006
- Provider's NPPES Record Last Updated
- May 19, 2021
- Certification Date
- May 19, 2021
- NPISignal NPPES Dataset
- August 2026
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