Travis Edward Vanden Heuvel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320113 - 31 Issued in WI

Practice address

N1762 Buchanan Rd
Kaukauna, WI 54130-9207

Phone

(920) 574-8066

NPI assigned

Mar 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1669833000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1762 BUCHANAN RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309207",
            "telephone_number": "920-574-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1762 BUCHANAN RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309207",
            "telephone_number": "920-574-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN HEUVEL",
        "first_name": "TRAVIS",
        "middle_name": "EDWARD",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "320113 - 31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Doc at Your Door,LLC
• Kasey Trunk
• Jessica Jo Van Schyndel, OTR
• Kathleen S Van Zeeland, MS,CCC-SLP
• Molly Vande Wettering
• David G Vanderloop II, O.D.
• Morgan L Vanderloop, LPC
• Rebecca Lynn Vanderloop, PTA
• Mark Stephen Vandermause, BS PHARMACY RPH
• Meghan Rose Velasques, CCC-SLP

• Licensed Practical Nurse in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.