Marisa Vang

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

5936 Beard Ave N
Brooklyn Center, MN 55429-2630

Phone

(763) 402-1013

NPI assigned

Dec 27, 2016

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 names 1

• Marisa Vang Professional name

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": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1831634005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 BEARD AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292630",
            "telephone_number": "763-402-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 BEARD AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292630",
            "telephone_number": "763-402-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "MARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "VANG",
            "credential": "CNMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anita Vang, OTD, OTR/L
• Bao Vang
• Betty Vang
• Kovy Vang
• Mai Zong Vang
• Xuedaynie Vang
• Caleb Arthur Vanornum
• Gay Varecka, C-NP
• Samaria'H N Vaughn
• Zuani Marilyn Ventura

• Massage Therapist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.