Active NPI
Erin N Vanguilder, COTA
- Occupational Therapy Assistant
- Spooner, WI
National Provider Identifier
1558838623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5509-27
- Practice address
- 1280 Chandler Dr
Spooner, WI 54801-2202 - Phone
- (715) 939-1629
- Fax
- (715) 939-1557
- NPI assigned
- Oct 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5509-27 | WI | Primary |
Addresses
Primary practice location
1280 Chandler Dr
Spooner, WI 54801-2202
Mailing address
216 E Gates St
Rice Lake, WI 54868-2532
Phone (715) 222-6658
Other practice location 1
801 County Highway A
Spooner, WI 54801-7429
Phone (715) 635-2171
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 |
|---|---|---|---|
| 5509-27 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1558838623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 E GATES ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682532",
"telephone_number": "715-222-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 CHANDLER DR",
"city": "SPOONER",
"state": "WI",
"postal_code": "548012202",
"telephone_number": "715-939-1629",
"fax_number": "715-939-1557"
}
],
"practiceLocations": [
{
"address_1": "801 County Highway A",
"address_purpose": "LOCATION",
"city": "Spooner",
"state": "WI",
"postal_code": "548017429",
"country_code": "US",
"telephone_number": "715-635-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANGUILDER",
"first_name": "ERIN",
"middle_name": "N",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5509-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spooner, WI
- Kathleen Ann Thom, R.N.
- Thomas Eric Herzog Inc
- Leslie D Thornburg, OD
- Erica M Tison
- Mark Aeppli Van Etten
- Washburn County Health and Human Services Department
- Washburn County Health and Human Services Department
- Washburn County Health and Human Services Department
- Haley Welsch
- Whole Life Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.