Individual provider Active NPI

Heidi Lavanway

  • Massage Therapist
  • Montpelier, VT
National Provider Identifier
1669208476
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
164.0001707 Issued in VT
Practice address
200 Elm St
Montpelier, VT 05602-2205
Phone
(802) 223-0954
Fax
(802) 225-6728
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 164.0001707 VT Primary

Addresses

Primary practice location

200 Elm St
Montpelier, VT 05602-2205

Mailing address

361 Brookview LN
Wolcott, VT 05680-4603
Phone (802) 279-6995

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
164.0001707VTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Acupuncture and Oriental Medicine LLC CurrentSince Oct 13, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1669208476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BROOKVIEW LN",
            "city": "WOLCOTT",
            "state": "VT",
            "postal_code": "056804603",
            "telephone_number": "802-279-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022205",
            "telephone_number": "802-223-0954",
            "fax_number": "802-225-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVANWAY",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VT",
            "license": "164.0001707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

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

Verify at the official NPI Registry.