Active NPI
Sarah Vennes, MT, CNMT
- Massage Therapist
- Eden Prairie, MN
National Provider Identifier
1992284541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1338393 | Other | MN | AMTA |
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.