NPIMap

Individual provider Active NPI

Theresa L Vandehey, FNP

  • Family Nurse Practitioner
  • Allen Park, MI
National Provider Identifier
1346765344
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704337222 Issued in MI
Practice address
7445 Allen Rd
Allen Park, MI 48101-1963
Phone
(313) 388-9552
Fax
(313) 789-7620
NPI assigned
Aug 10, 2017
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209015830 IL
Family Nurse Practitioner 363LF0000X 4704337222 MI Primary

Addresses

Primary practice location

7445 Allen Rd
Allen Park, MI 48101-1963

Mailing address

15741 Pleasant Ave
Allen Park, MI 48101-1193
Phone (313) 588-0026

Other names 1

  • Theresa L Munoz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000218 MI Practitioner - Nurse Practitioner 5294009361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allen Park Family Physicians PLCGroup PAC ID 8022379460, 3 clinicians

Practice addresses (Care Compare)

7445 Allen Rd
Suite 210
Allen Park, MI 48101-1995
Phone (313) 388-9552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Internists,P.C. CurrentSince May 12, 2024 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince May 21, 2023 Accepting new patients
Allen Park Family Physicians PLC CurrentSince May 12, 2024 Accepting new patients
Henry Ford Health System PastSince Aug 27, 2023 Accepting new patients

Locations

203 E Grant St
Coulterville, IL 62237
Phone (618) 758-2331

7445 Allen Rd
Ste 210
Allen Park, MI 48101
Phone (313) 382-0505

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1346765344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15741 PLEASANT AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011193",
            "telephone_number": "313-588-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-388-9552",
            "fax_number": "313-789-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEHEY",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015830",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704337222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MUNOZ",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.