Active NPI
Anissa McElveen, LMT, BA, MLD
- Massage Therapist
- Hartsville, SC
National Provider Identifier
1053022749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11772
- Practice address
- 123 W Home Ave
Hartsville, SC 29550-4123 - Phone
- (843) 287-4589
- NPI assigned
- Dec 13, 2022
- Last updated
- Dec 13, 2022
- 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 | 11772 | SC | Primary |
Addresses
Primary practice location
123 W Home Ave
Hartsville, SC 29550-4123
Mailing address
418 Penn Cir
Hartsville, SC 29550-5841
Phone (843) 307-6539
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11772 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1053022749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 PENN CIR",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505841",
"telephone_number": "843-307-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W HOME AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504123",
"telephone_number": "843-287-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELVEEN",
"first_name": "ANISSA",
"credential": "LMT, BA, MLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "11772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.