Stephanie Michelle Vander Velden, MHR, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000000791 Issued in TN

Practice address

151 Adams LN Ste 11
Mt Juliet, TN 37122-8320

Phone

(615) 773-1561

Fax

(615) 773-1564

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013019959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 CHESNEY GLEN DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370764431",
            "telephone_number": "615-584-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ADAMS LN STE 11",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228320",
            "telephone_number": "615-773-1561",
            "fax_number": "615-773-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VELDEN",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "MHR, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ungethum
• Taylor Unklesbay
• Vabbypharma LLC
• James Valentine, PHARMD
• Donald R Van Slee, DC
• Kelly Jean Vanhoven, M.A., CCC-SLP
• Rebecca Varela
• Photios Michael Frank Vassilyadi, MD
• Joni Lynn Vastola, FNP-C
• Cody Vaughn

• Athletic Trainer in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.