Anishia N Etienne, MMT PRACTIONER

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9158 Issued in LA

Practice address

911 Ridgepoint CT
Baton Rouge, LA 70810-2898

Phone

(225) 605-5857

NPI assigned

Aug 22, 2019

Last updated

Mar 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Press Massage and Recovery Corporation

  • Massage Therapist
  • Baton Rouge, LA
  • NPI 1003516600
  NPD Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1083261192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101627",
            "telephone_number": "225-605-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RIDGEPOINT CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102898",
            "telephone_number": "225-605-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "ANISHIA",
        "middle_name": "N",
        "credential": "MMT PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "9158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Estopinal, MD
• Eternal Crisis Outreach
• Stephen Ward Etheredge, M.D.
• Ethos Coordinated Care Services,LLC
• Ethos Human Performance & Physical Therapy LLC
• Pravallika Reddy Etikala
• Ets
• Shelbi Conerly Ettinger, FNP-C
• Eugene and Oleander LLC
• Evaluative & Development Services

• Massage Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.