Active NPI
Kathryn Miscavage
- Massage Therapist
- Metairie, LA
National Provider Identifier
1053809236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3657
- Practice address
- 4300 S I 10 Service Rd W Ste 103R
Metairie, LA 70001-7440 - Phone
- (504) 264-3490
- NPI assigned
- Apr 24, 2018
- 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 | 3657 | LA | Primary |
Addresses
Primary practice location
4300 S I 10 Service Rd W Ste 103R
Metairie, LA 70001-7440
Mailing address
2903 Tugie St
Metairie, LA 70003-3929
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 |
|---|---|---|---|
| 3657 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1053809236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 TUGIE ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700033929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 S I 10 SERVICE RD W STE 103R",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700017440",
"telephone_number": "504-264-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCAVAGE",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "LA",
"license": "3657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.