Active NPI
Heidi Lavanway
- Massage Therapist
- Montpelier, VT
National Provider Identifier
1669208476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 164.0001707
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.0001707 | VT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Acupuncture and Oriental Medicine LLC | Current | 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.
-
- Acupuncturist
- Montpelier, VT
- NPI 1225326739
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.