Active NPI
Krystal Nneka Chukwuemeka, LMT
- Massage Therapist
- Huntington, WV
National Provider Identifier
1063761732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2009-2576
- Practice address
- 1017 6TH Ave
Huntington, WV 25701-2348 - Phone
- (304) 416-0096
- NPI assigned
- Sep 10, 2012
- Last updated
- Jul 20, 2020
- 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 | 2009-2576 | WV | Primary |
Addresses
Primary practice location
1017 6TH Ave
Huntington, WV 25701-2348
Mailing address
1017 6TH Ave
Huntington, WV 25701-2348
Phone (304) 416-0096
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 |
|---|---|---|---|
| 2009-2576 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knneka Enterprises | Massage Therapist | Current | 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": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1063761732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012348",
"telephone_number": "304-416-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012348",
"telephone_number": "304-416-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWUEMEKA",
"first_name": "KRYSTAL",
"middle_name": "NNEKA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2009-2576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.