Active NPI
Erica Elizabeth Van Houdt
- Recreational Therapist Assistant
- Cedar Springs, MI
National Provider Identifier
1417778267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreational Therapist Assistant
- License
- 82547
- Practice address
- 16075 Meddler Ave NE
Cedar Springs, MI 49319-8709 - Phone
- (616) 745-3181
- NPI assigned
- Oct 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 82547 | MI | |
| Recreational Therapist Assistant | 226000000X | 82547 | MI | Primary |
Addresses
Primary practice location
16075 Meddler Ave NE
Cedar Springs, MI 49319-8709
Mailing address
16075 Meddler Ave NE
Cedar Springs, MI 49319-8709
Phone (616) 745-3181
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 |
|---|---|---|---|
| 82547 | MI | MD | Recreational Therapist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1417778267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16075 MEDDLER AVE NE",
"city": "CEDAR SPRINGS",
"state": "MI",
"postal_code": "493198709",
"telephone_number": "616-745-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16075 MEDDLER AVE NE",
"city": "CEDAR SPRINGS",
"state": "MI",
"postal_code": "493198709",
"telephone_number": "616-745-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOUDT",
"first_name": "ERICA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "82547",
"primary": false
},
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": "MI",
"license": "82547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.