Active NPI
Angel Lou Vanskike
- Community Health Worker
- Alma, MI
National Provider Identifier
1508420878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- Mymichigan Medical Center Alma
300 E. Warwick Dr
Alma, MI 48801-1014 - Phone
- (989) 463-3011
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502001705 | MI | |
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
Mymichigan Medical Center Alma
300 E. Warwick Dr
Alma, MI 48801-1014
Mailing address
524 Wright Ave
Alma, MI 48801-1615
Other practice location 1
400 S Crapo St
MT Pleasant, MI 48858-2944
Phone (989) 773-5918
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 |
|---|---|---|---|
| 5502001705 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1508420878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 WRIGHT AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MYMICHIGAN MEDICAL CENTER ALMA",
"address_2": "300 E. WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011014",
"telephone_number": "989-463-3011"
}
],
"practiceLocations": [
{
"address_1": "400 S Crapo St",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "MI",
"postal_code": "488582944",
"country_code": "US",
"telephone_number": "989-773-5918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANSKIKE",
"first_name": "ANGEL",
"middle_name": "LOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2024-02-09",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502001705",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.