Individual provider Active NPI

Therese Anne House-Vereeke, D.C.

  • Chiropractor
  • Hudsonville, MI
National Provider Identifier
1669788576
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009658 Issued in MI
Practice address
5211 Cherry Ave
Suite 120
Hudsonville, MI 49426-1447
Phone
(616) 426-8500
Fax
(616) 426-8501
NPI assigned
Aug 30, 2010
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009658 MI Primary

Addresses

Primary practice location

5211 Cherry Ave
Suite 120
Hudsonville, MI 49426-1447

Mailing address

5211 Cherry Ave
Suite 120
Hudsonville, MI 49426-1447
Phone (616) 426-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000826 MI Practitioner - Chiropractic 8123205259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5211 Cherry Ave
Suite 120
Hudsonville, MI 49426-1458
Phone (616) 426-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009658MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Choice Family Chiropractic, LLC Chiropractor CurrentSince Dec 27, 2016 Accepting new patients
Ottawa Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

5211 Cherry Ave
Ste 120
Hudsonville, MI 49426
Phone (616) 426-8500

Organizations & group practices 2

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1669788576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 CHERRY AVE",
            "address_2": "SUITE 120",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261447",
            "telephone_number": "616-426-8500",
            "fax_number": "616-426-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 CHERRY AVE",
            "address_2": "SUITE 120",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261447",
            "telephone_number": "616-426-8500",
            "fax_number": "616-426-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE-VEREEKE",
        "first_name": "THERESE",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.