Tessa Corin Van Maanen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

127681 Issued in IA

Practice address

2115 1St Ave SE
Cedar Rapids, IA 52402-6353

Phone

(319) 363-2420

NPI assigned

Aug 28, 2024

Sex

Female

Sole proprietor

Yes

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1124852538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BOYSON RD NE APT 233",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027391",
            "telephone_number": "641-891-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026353",
            "telephone_number": "319-363-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MAANEN",
        "first_name": "TESSA",
        "middle_name": "CORIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "127681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George D Valentine, DC PHC
• Mark Valliere, M.D.
• Patricia Carolyn McLain Van Alstyne, PH.D.
• Tiffany Van Dee
• John R Van Heukelom, DDS MS
• Jacob Van Oort, PHARMD
• Katie Sue Vanarendonk, PT
• Vance Thompson Vision Surgery Center Cedar Rapids LLC
• Lesley Gail Vancura, ARNP
• Daniel T Vandenbosch, MD

• Speech-Language Pathologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.