Active NPI
Carol Marie Render, LMT, MMP
- Massage Therapist
- Newport News, VA
National Provider Identifier
1043734304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 001900966
- Practice address
- 780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411 - Phone
- (757) 592-9102
- NPI assigned
- Jul 28, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 001900966 | VA | Primary |
Addresses
Primary practice location
780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411
Mailing address
780 Pilot House Dr Ste 100a
Newport News, VA 23606-4411
Phone (757) 592-9102
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001900966 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knot So Zen, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043734304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 PILOT HOUSE DR STE 100A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064411",
"telephone_number": "757-592-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 PILOT HOUSE DR STE 100A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064411",
"telephone_number": "757-592-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDER",
"first_name": "CAROL",
"middle_name": "MARIE",
"credential": "LMT, MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "001900966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
- Deborah M Remchuk, M.D.
- Renaissance Medical Training Group
- Renaissance Wellness
- Renal Treatment Centers Mid Atlantic Inc (Newport News Dialysis Center)
- Renal Treatment Centers Mid Atlantic Inc (Peninsula Dialysis Center)
- Renee Delahoussaye, M.D., P.C.
- Renew Life, LLC
- Renewed Well-Being, LLC
- Renewing Minds, Inc. (Renewing Minds Counseling Center)
- Renova Internal Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.