Michelle Lyla Vandee

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

215 Wyoming St
Syracuse, NY 13204-2927

Phone

(315) 200-6080

NPI assigned

Feb 4, 2019

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

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1922563949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KING ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771011",
            "telephone_number": "607-423-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WYOMING ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042927",
            "telephone_number": "315-200-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEE",
        "first_name": "MICHELLE",
        "middle_name": "LYLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Stephanie Van Schaick, OTL
• Thomas W Vanarnam Jr., PA
• Vanbeveren and Yankowitz Physical Therapists, PC
• Patrick J Vanbeveren, PT
• Marissa Mae Vanboden
• Ella Vanderbilt
• Holly Ann Vanderhoff, PH.D.
• Thomas Jefferson Vandermeer, MD
• Audrey Victoria Vandewall, DO
• Gabrielle Vanduser, LMSW

• Peer Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.