Active NPI
Leslie Anne Veneman
- Student in an Organized Health Care Education/Training Program
- Grand Rapids, MI
National Provider Identifier
1285125039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 6901011748
- Practice address
- 6730 Cascade Rd SE
Grand Rapids, MI 49546-8718 - Phone
- (949) 096-0616
- NPI assigned
- May 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6901011748 | MI | Primary |
Addresses
Primary practice location
6730 Cascade Rd SE
Grand Rapids, MI 49546-8718
Mailing address
765 Hampden Ave Apt 136
Saint Paul, MN 55114-1664
Phone (616) 808-1175
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6901011748 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527379200000",
"number": "1285125039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 HAMPDEN AVE APT 136",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141664",
"telephone_number": "616-808-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468718",
"telephone_number": "949-096-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEMAN",
"first_name": "LESLIE",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-27",
"last_updated": "2018-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "6901011748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.