Individual provider Active NPI

Elizabeth Rose Masiello, DC

  • Chiropractor
  • St Thomas, VI
National Provider Identifier
1063756807
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0025 Issued in VI
Practice address
4126 Annas Retreat
St Thomas, VI 00802-1760
Phone
(340) 715-1361
Fax
(340) 714-5413
NPI assigned
Nov 17, 2012
Last updated
Nov 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0025 VI Primary

Addresses

Primary practice location

4126 Annas Retreat
St Thomas, VI 00802-1760

Mailing address

4126 Annas Retreat
St Thomas, VI 00802-1760
Phone (340) 715-1361

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0025VIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolutely Chiropractic, LLC Chiropractor CurrentSince Oct 16, 2012 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": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1063756807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 ANNAS RETREAT",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021760",
            "telephone_number": "340-715-1361",
            "fax_number": "340-714-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 ANNAS RETREAT",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021760",
            "telephone_number": "340-715-1361",
            "fax_number": "340-714-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIELLO",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "0025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; 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.