Active NPI
Julie Anne Cornish, L.M.T.
- Massage Therapist
- Omaha, NE
National Provider Identifier
1033385208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2084
- Practice address
- 11912 Elm St
Ste. 101
Omaha, NE 68144-4443 - Phone
- (402) 870-0919
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2084 | NE | Primary |
Addresses
Primary practice location
11912 Elm St
Ste. 101
Omaha, NE 68144-4443
Mailing address
11912 Elm St
Ste. 101
Omaha, NE 68144-4443
Phone (402) 870-0919
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1033385208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11912 ELM ST",
"address_2": "STE. 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444443",
"telephone_number": "402-870-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11912 ELM ST",
"address_2": "STE. 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444443",
"telephone_number": "402-870-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNISH",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "2084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.