Individual provider Active NPI

Julie Nobach, LMT

  • Massage Therapist
  • Vestaburg, MI
National Provider Identifier
1043662901
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
L581971 Issued in MI
Practice address
7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570
Phone
(989) 560-1164
NPI assigned
Jul 4, 2016
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X L581971 MI Primary
Massage Therapist 225700000X 7501007100 MI

Addresses

Primary practice location

7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570

Mailing address

7400 E Howard City Edmore Rd
Vestaburg, MI 48891-9570
Phone (989) 560-1164

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
7501007100MIMDMassage Therapist
L581971MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1043662901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E HOWARD CITY EDMORE RD",
            "city": "VESTABURG",
            "state": "MI",
            "postal_code": "488919570",
            "telephone_number": "989-560-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E HOWARD CITY EDMORE RD",
            "city": "VESTABURG",
            "state": "MI",
            "postal_code": "488919570",
            "telephone_number": "989-560-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBACH",
        "first_name": "JULIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "L581971",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestaburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.