Susan Annette Oliver, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10572 Issued in TN

Practice address

220 Broad St Ste 203
Kingsport, TN 37660-4245

Phone

(423) 361-0545

NPI assigned

Feb 26, 2018

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

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1003317868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WOODMONT AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROAD ST STE 203",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604245",
            "telephone_number": "423-361-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SUSAN",
        "middle_name": "ANNETTE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "10572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly S Oggero, M.D.
• Kourtney Kahler Oggero, FNP
• Frank L Oglesby Jr., O.D.
• Tasha Marie Olinger, M.S., CF-SLP
• Amanda Michelle Oliver
• Optimum Primary Care PC
• Shane Michael Orcutt
• Gabriela Paola Orozco, MD
• Emma Jane Orr, PHARM.D.
• April Dawn Osborne, RN

• Massage Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.