Active NPI
Holly Vanderveen
- Massage Therapist
- Lafayette, OR
National Provider Identifier
1750121414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24659
- Practice address
- 957 7TH Street Ext
Lafayette, OR 97127-9231 - Phone
- (971) 237-8856
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24659 | OR | MD | Massage Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24659 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
957 7TH Street Ext
Lafayette, OR 97127-9231
Mailing address
957 7TH Street Ext
Lafayette, OR 97127-9231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1750121414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 7TH STREET EXT",
"city": "LAFAYETTE",
"state": "OR",
"postal_code": "971279231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 7TH STREET EXT",
"city": "LAFAYETTE",
"state": "OR",
"postal_code": "971279231",
"telephone_number": "971-237-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERVEEN",
"first_name": "HOLLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.