Individual provider Active NPI

Sarah Vennes, MT, CNMT

  • Massage Therapist
  • Eden Prairie, MN
National Provider Identifier
1992284541
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
6400 Flying Cloud Dr, Suite 240
Eden Prairie, MN 55433
Phone
(952) 412-8727
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

6400 Flying Cloud Dr, Suite 240
Eden Prairie, MN 55433

Mailing address

6400 Flying Cloud Dr Ste 240
Eden Prairie, MN 55344-3326
Phone (952) 412-8727

Other identifiers 1

IdentifierTypeStateIssuer
1338393OtherMNAMTA

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
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1992284541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FLYING CLOUD DR STE 240",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443326",
            "telephone_number": "952-412-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FLYING CLOUD DR, SUITE 240",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "952-412-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNES",
        "first_name": "SARAH",
        "credential": "MT, CNMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTA",
            "identifier": "1338393",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.