Lindsey Vanderkooi

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

67457

Practice address

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Phone

(616) 940-0040

NPI assigned

May 14, 2016

Last updated

May 14, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1720435274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 CHAMBERLAIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082616",
            "telephone_number": "616-450-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064336",
            "telephone_number": "616-940-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOOI",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "67457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Jo Vanderklok, BC-HIS
• Stacey M Vanderklok, LMSW
• Cynthia M Vanderkodde
• Karla Vanderkodde, LMSW
• Henry L Vanderkolk, MD
• Karen Vanderlaan, LMSW
• Lauren Vanderlaan, OTR/L
• Nathan Andrew Vanderlaan
• Peter William Vanderlaan, BSW
• Ronald Vanderlaan, MD

• Recreation Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.