Active NPI
Amanda Vanooyen
- Occupational Therapist
- White Lake, MI
National Provider Identifier
1730675000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007147
- Practice address
- 4695 Fox Chase Dr
White Lake, MI 48383-1682 - Phone
- (734) 502-6057
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201007147 | MI | Primary |
Addresses
Primary practice location
4695 Fox Chase Dr
White Lake, MI 48383-1682
Mailing address
4695 Fox Chase Dr
White Lake, MI 48383-1682
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007147 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1730675000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 FOX CHASE DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483831682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4695 FOX CHASE DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483831682",
"telephone_number": "734-502-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOOYEN",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Lake, MI
- Township of Whitelake Oakland Co
- Trinity Continuing Care Services (The Neighborhoods of White Lake)
- Elizabeth Trueblood, COTA/L
- Wendy M Turner
- Uniquely Nourished, L.L.C.
- Kristin Varner, LMSW
- Nicole Varshavskiy, OD
- Candice Vieira, LPC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2700)
- Wal-Mart Stores East, LP (Vision Center 30-2693)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.