Individual Healthcare Provider
Annette Van Dam, APRN
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 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
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
Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
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 208D00000XIntegrative 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 202D00000XNurse 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 363L00000XNurse 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
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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