Active NPI
Nicole Kristen Morigeau, LMT
- Massage Therapist
- Prescott Valley, AZ
National Provider Identifier
1083472880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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 | 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.