Individual provider Active NPI

Debbie Gozalez, LMT

  • Massage Therapist
  • Hopkinsville, KY
National Provider Identifier
1033676655
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
175400 Issued in KY
Practice address
623 Millbrooke Dr
Hopkinsville, KY 42240-5241
Phone
(270) 632-6747
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 175400 KY Primary

Addresses

Primary practice location

623 Millbrooke Dr
Hopkinsville, KY 42240-5241

Mailing address

623 Millbrooke Dr
Hopkinsville, KY 42240-5241
Phone (270) 632-6747

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
175400KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1033676655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MILLBROOKE DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405241",
            "telephone_number": "270-632-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MILLBROOKE DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405241",
            "telephone_number": "270-632-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZALEZ",
        "first_name": "DEBBIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "175400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.