Individual provider Active NPI

Nicole Kristen Morigeau, LMT

  • Massage Therapist
  • Prescott Valley, AZ
National Provider Identifier
1083472880
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
7485 E 1St St Ste G
Prescott Valley, AZ 86314-2241
Phone
(928) 800-4460
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X AZ Primary

Addresses

Primary practice location

7485 E 1St St Ste G
Prescott Valley, AZ 86314-2241

Mailing address

3445 N Etheridge Dr
Prescott Valley, AZ 86314-8526
Phone (928) 800-4460

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

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1083472880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 N ETHERIDGE DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148526",
            "telephone_number": "928-800-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 E 1ST ST STE G",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142241",
            "telephone_number": "928-800-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIGEAU",
        "first_name": "NICOLE",
        "middle_name": "KRISTEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.