Elan Inez Van Vlack, MS

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2501 W Beltline Hwy Ste 207
Madison, WI 53713-2321

Phone

(608) 417-7341

Fax

(608) 417-5770

NPI assigned

Jan 29, 2016

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

Other names 1

• Elan Inez Littlejohn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1861850364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 207",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132321",
            "telephone_number": "608-417-7341",
            "fax_number": "608-417-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 207",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132321",
            "telephone_number": "608-417-7341",
            "fax_number": "608-417-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VLACK",
        "first_name": "ELAN",
        "middle_name": "INEZ",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAN",
            "last_name": "LITTLEJOHN",
            "middle_name": "INEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly Jean Van Note, PHARM D
• Sarah E. Van Riet, RD, CDE, LN
• Jon Dirk Van Roo, M.D.
• Linda M Van Tol, LMFT, CSAC
• Michael J Van Veghel, ATC
• Eric W Van Zon, D.C.
• Jordyn Van
• Morady Van, RRT
• Lilyan Cohen Vanasse
• Michael G. Vanbuer, M.D., PH.D.

• Clinical Exercise Physiologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Exercise Physiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.