Individual provider Active NPI

Heidi A Nadeau, LMT

  • Massage Therapist
  • Kittery, ME
National Provider Identifier
1033340237
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3353M Issued in NH
Practice address
74 State Rd
Pepperell Green Office Suite 103
Kittery, ME 03904-1564
Phone
(207) 439-9045
Fax
(207) 703-0289
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-4133 ME
Massage Therapist 225700000X MT-12566 AZ
Massage Therapist 225700000X 3353M NH Primary

Addresses

Primary practice location

74 State Rd
Pepperell Green Office Suite 103
Kittery, ME 03904-1564

Mailing address

74 State Rd
Pepperell Green Office Suite 103
Kittery, ME 03904-1564
Phone (207) 439-9045

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
MT-12566AZMDMassage Therapist
MT-4133MEMDMassage Therapist
3353MNHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1033340237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 STATE RD",
            "address_2": "PEPPERELL GREEN OFFICE SUITE 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041564",
            "telephone_number": "207-439-9045",
            "fax_number": "207-703-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 STATE RD",
            "address_2": "PEPPERELL GREEN OFFICE SUITE 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041564",
            "telephone_number": "207-439-9045",
            "fax_number": "207-703-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "HEIDI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT-4133",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-12566",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "3353M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.