Individual provider Active NPI

Edith Nicole North, LMT

  • Massage Therapist
  • Corpus Christi, TX
National Provider Identifier
1053186080
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT136291 Issued in TX
Practice address
5337 Yorktown Blvd Ste 4A1
Corpus Christi, TX 78413-5361
Phone
(361) 249-3274
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 MT136291 TX Primary

Addresses

Primary practice location

5337 Yorktown Blvd Ste 4A1
Corpus Christi, TX 78413-5361

Mailing address

5337 Yorktown Blvd Ste 4A1
Corpus Christi, TX 78413-5361
Phone (361) 793-6874

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
MT136291TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Wellness CurrentSince Nov 26, 2023 Accepting new patients

Locations

5337 Yorktown Blvd
Ste 4A1
Corpus Christi, TX 78413
Phone (361) 249-3274

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1053186080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 YORKTOWN BLVD STE 4A1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135361",
            "telephone_number": "361-793-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 YORKTOWN BLVD STE 4A1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135361",
            "telephone_number": "361-249-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "EDITH",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT136291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.