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NPISignal

Individual Healthcare Provider

Annette Van Dam, APRN

NPI Record: ActiveFamily Medicine — Adult Medicine
NPI1376914192
Columbus, Ohio

Provider's NPPES record last updated: April 23, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1376914192
Primary Specialty
Family Medicine — Adult Medicine
Practice Location
Columbus, Ohio
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 identified

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 18, 2026, 8:09 AM 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Adult Medicine

    Allopathic & Osteopathic Physicians

    Primary

    The NUCC recommends this code not be used. Choose a more appropriate code.

    Taxonomy code 207QA0505X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X
  • Integrative Medicine

    Allopathic & Osteopathic Physicians

    A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

    Taxonomy code 202D00000X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X
  • Nurse Practitioner

    Family

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LF0000X

Provider-Reported License Information

Family Medicine (Kentucky)
3009783
General Practice (Kentucky)
3009783
Integrative Medicine (Kentucky)
3009783
Nurse Practitioner (Kentucky)
3009783
Nurse Practitioner (Kentucky)
3009783
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

21 E. State St. Office 233 Columbus, Oh 43215

Offixe 233

Columbus, Ohio 43215

Phone: (888) 731-8994

Additional Practice Location

796 Ninevah Rd

Frankfort, Kentucky 40601-7960

Phone: (606) 215-0525

Fax: (606) 283-8253

Additional Practice Location

312 S 4th St Ste 700

Louisville, Kentucky 40202-3046

Phone: (888) 731-8994

Fax: (623) 999-1761

Record Information

Enumeration Date
October 20, 2015
Provider's NPPES Record Last Updated
April 23, 2026
Certification Date
April 23, 2026
NPISignal NPPES Dataset
August 2026

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