Tamika Hall

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032121 Issued in NY

Practice address

561 S Park Ave
Buffalo, NY 14204-2627

Phone

(716) 465-9703

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nicoles Elysian Massage

  • Massage Therapist
  • Buffalo, NY
  • NPI 1770322687
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1073187209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042627",
            "telephone_number": "716-465-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042627",
            "telephone_number": "716-465-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAMIKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrice Hall, LPN
• Lauren Elizabeth Hall, M.A., CCC-SLP
• Richard Everett Hall, DDS, MD, PHD
• Sarah Kathryn Hall, MS
• Shelby Leanne Hall, MD
• Tashauannea K Hall
• Tiondra C Hall
• Yolanda Latrice Hall, LPN
• Kyle Halladay
• Corinne Rose Halley

• Massage Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.