Individual provider Active NPI

Vanessa Putnam, LMT

  • Massage Therapist
  • Adrian, MI
National Provider Identifier
1346842713
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501014031 Issued in MI
Practice address
1921 US Highway 223
Adrian, MI 49221-1242
Phone
(517) 263-2900
Fax
(517) 263-9250
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501014031 MI Primary

Addresses

Primary practice location

1921 US Highway 223
Adrian, MI 49221-1242

Mailing address

1921 US Highway 223
Adrian, MI 49221-1242
Phone (517) 263-2900

Other identifiers 1

IdentifierTypeStateIssuer
7501014031OtherMIMASSAGE THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.adrianchiro.com Direct

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

LicenseStateTypeSpecialty
7501014031MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1346842713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211242",
            "telephone_number": "517-263-2900",
            "fax_number": "517-263-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211242",
            "telephone_number": "517-263-2900",
            "fax_number": "517-263-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "VANESSA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501014031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "7501014031",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.adrianchiro.com",
            "affiliation": "N",
            "endpointDescription": "www.adrianchiro.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1921 US Highway 223",
            "city": "Adrian",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492211242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.