Individual provider Active NPI

Heidi Van Eps, MASSAGE THERAPIST

  • Massage Therapist
  • Baxter, MN
National Provider Identifier
1699493668
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956
Phone
(218) 829-2665
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 NU Primary

Addresses

Primary practice location

15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956

Mailing address

15574 Edgewood Dr Ste 102
Baxter, MN 56401-6956
Phone (218) 829-2665

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL frontdesk@familychiropracticlinicmn.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holbrook Family Chiropractic PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

15574 Edgewood Dr
Ste 102
Brainerd, MN 56401
Phone (218) 829-2665

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1699493668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15574 EDGEWOOD DR STE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564016956",
            "telephone_number": "218-829-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15574 EDGEWOOD DR STE 102",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564016956",
            "telephone_number": "218-829-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EPS",
        "first_name": "HEIDI",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "frontdesk@familychiropracticlinicmn.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15574 Edgewood Dr Ste 102",
            "city": "Baxter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564016956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.