Michele Leann Vanoordt, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0021233 Issued in CO

Practice address

195 S Tamera Ave
Milliken, CO 80543-8042

Phone

(970) 213-0430

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1821735390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S TAMERA AVE",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805438042",
            "telephone_number": "970-213-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S TAMERA AVE",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805438042",
            "telephone_number": "970-213-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOORDT",
        "first_name": "MICHELE",
        "middle_name": "LEANN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0021233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.O.R.A.",
            "identifier": "0021233",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://restorative-serenity-llc.square.site",
            "affiliation": "N",
            "address_1": "195 S Tamera Ave",
            "city": "Milliken",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805438042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miranda Megan Sadar, BCBA
• Sabrina Schleiger, CD, CBE
• Lance P Steahly, MD
• Mary Strittman
• Take Heart
• Shantel Renee Vines, LMT
• Mindy Wakeman, CNIM
• Kristen Watson
• Morgan Yendrey

• Massage Therapist in Milliken, CO
• Providers in Milliken, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.