Active NPI
Anna Faye Evanson, LMT
- Massage Therapist
- East Lansing, MI
National Provider Identifier
1073266078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2045 Asher CT Ste 100
East Lansing, MI 48823-8444 - Phone
- (517) 351-9240
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MI | Primary |
Addresses
Primary practice location
2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Mailing address
2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Phone (517) 351-9240
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Dr.Chrono | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Wellness Inc | Current | Accepting new patients |
Locations
2045 Asher Ct
#100
East Lansing, MI 48823
Phone (517) 351-9240
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- East Lansing, MI
- NPI 1609977222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1073266078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 ASHER CT STE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238444",
"telephone_number": "517-351-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 ASHER CT STE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238444",
"telephone_number": "517-351-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANSON",
"first_name": "ANNA",
"middle_name": "FAYE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Dr.Chrono",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR-SOAP Notes",
"address_1": "2045 Asher Ct Ste 100",
"city": "East Lansing",
"state": "MI",
"country_code": "US",
"postal_code": "488238444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.