Individual provider Active NPI

Catherine Tancrelle, LMT

  • Massage Therapist
  • Cary, NC
National Provider Identifier
1023721669
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16023 Issued in NC
Practice address
1310 SE Maynard Rd
Cary, NC 27511-3615
Phone
(191) 980-2110
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 16023 NC Primary

Addresses

Primary practice location

1310 SE Maynard Rd
Cary, NC 27511-3615

Mailing address

3605 Old Country LN
Raleigh, NC 27616-8567
Phone (919) 980-2110

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lifebalancedhealingmassage.com Direct

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
16023NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1023721669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 OLD COUNTRY LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168567",
            "telephone_number": "919-980-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113615",
            "telephone_number": "191-980-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCRELLE",
        "first_name": "CATHERINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "16023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lifebalancedhealingmassage.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1310 SE Maynard Rd",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275113615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.