Ingrid Marie Vanduyne, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110358 Issued in TX

Practice address

120 East Harris Ave
San Angelo, TX 76902

Phone

(325) 657-5692

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679696231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 COUNTRY CLUB ESTATES CIR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769044162",
            "telephone_number": "325-651-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76902",
            "telephone_number": "325-657-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUYNE",
        "first_name": "INGRID",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Davis Vance, D.D.S.
• Richard Vandegraaf, MD
• Kelcey Cottle Vanderburg, MAT, ATC, LAT
• Christopher W Vanderzant, DO
• Charles M Vandiver, LPC
• Julie Beth Vann, LPC
• Lisa Vannoy, FNP-C
• Patricia Douglass Vanover, CNS
• Tammy Vanstockum, RNC, BSN, CD(DONA)
• Brianna Macias Vargas

• Occupational Therapist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.