Individual provider Active NPI

Tyrone Vanburen, LMT

  • Massage Therapist
  • New Orleans, LA
National Provider Identifier
1508300781
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8387 Issued in LA
Practice address
3701 Canal Street
Suite 129
New Orleans, LA 70119-6158
Phone
(504) 355-1621
NPI assigned
Dec 7, 2016
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 8387 LA Primary

Addresses

Primary practice location

3701 Canal Street
Suite 129
New Orleans, LA 70119-6158

Mailing address

1627 Pailet Ave
Harvey, LA 70058-3621
Phone (504) 214-9103

Other practice location 1

1627 Pailet Ave
Harvey, LA 70058-3621
Phone (504) 214-9103

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1508300781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 PAILET AVE",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583621",
            "telephone_number": "504-214-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CANAL STREET",
            "address_2": "SUITE 129",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196158",
            "telephone_number": "504-355-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Pailet Ave",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "LA",
            "postal_code": "700583621",
            "country_code": "US",
            "telephone_number": "504-214-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBUREN",
        "first_name": "TYRONE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "8387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.