Individual provider Active NPI

Deborah Leann Inman, LMT, KTP

  • Massage Therapist
  • Aurora, MO
National Provider Identifier
1013539923
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2009000045 Issued in MO
Practice address
22768 State Highway 39 Ste B
Aurora, MO 65605-5283
Phone
(417) 440-0401
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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 2009000045 MO Primary

Addresses

Primary practice location

22768 State Highway 39 Ste B
Aurora, MO 65605-5283

Mailing address

22768 State Highway 39 Ste B
Aurora, MO 65605-5283
Phone (417) 440-0401

Other identifiers 2

IdentifierTypeStateIssuer
2013007195OtherMOMISSOURI MASSAGE THERAPY BUSINESS LICENSE
2009000045OtherMOMISSOURI MASSAGE THERAPIST LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Aurora
CONNECT URL Aurora

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

State licenses

LicenseStateTypeSpecialty
2009000045MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1013539923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22768 STATE HIGHWAY 39 STE B",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656055283",
            "telephone_number": "417-440-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22768 STATE HIGHWAY 39 STE B",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656055283",
            "telephone_number": "417-440-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "DEBORAH",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "LMT, KTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2009000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MASSAGE THERAPY BUSINESS LICENSE",
            "identifier": "2013007195",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MASSAGE THERAPIST LICENSE",
            "identifier": "2009000045",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aurora",
            "affiliation": "N",
            "address_1": "22768 State Highway 39 Ste B",
            "city": "Aurora",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656055283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aurora",
            "affiliation": "N",
            "address_1": "22768 State Highway 39 Ste B",
            "city": "Aurora",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656055283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.