Verdurous Me, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501010100 Issued in MI

Legal business name

VERDUROUS ME, LLC

Practice address

49881 Grand River Ave
Wixom, MI 48393-3309

Phone

(248) 229-4016

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Leesa Hanksnecht

Title

Owner

Phone

(248) 420-7439

Specialties & licenses 4

Addresses

Other identifiers 5

Tax ID family

Verdurous Me LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Verdurous Me, LLC

  • Massage Therapist
  • Wixom, MI
  • NPI 1689126468
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daviana Butler

  • Athletic Trainer
  • Wixom, MI
  • NPI 1700314747
  NPD (past)
• Charles Clagg, LMT

  • Massage Therapist
  • Livonia, MI
  • NPI 1831627876
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1124548185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25645 INGLESIDE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49881 GRAND RIVER AVE",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933309",
            "telephone_number": "248-229-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUROUS ME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "HANKSNECHT",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-420-7439"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": "MI",
            "license": "68663511",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "18966MIPFT",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501010100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY SPECIALIST",
            "identifier": "106H00000X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH EDUCATOR",
            "identifier": "174H00000X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITION SPECIALIST",
            "identifier": "133NN1002X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEOPATH",
            "identifier": "175L00000X",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST ATHLETIC TRAINER",
            "identifier": "2255A2300X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Ann Thurston
• Barbara Rose Trager, LMSW
• Trinity Medical Consultants PLLC
• Usv Optical Inc.
• Usv Optical, Inc.
• Verdurous Me, LLC
• Colin Vetor
• Devi Janani Vijaya Raghavan
• Loretta E Villeneuve, P.A.
• Dayna Ruth Weber, LPC

• Massage Therapist in Wixom, MI
• Providers in Wixom, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.