Individual provider Active NPI

Elizabeth Kathryn Hill, LMT, CPT, CNA, CET

  • Massage Therapist
  • Dallas, TX
National Provider Identifier
1093284762
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT122756 Issued in TX
Practice address
5143 Vandelia St Unit 204-2
Dallas, TX 75235-8838
Phone
(978) 809-0417
NPI assigned
Nov 25, 2018
Last updated
Nov 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0060025002 TX
Massage Therapist 225700000X MT122756 TX Primary
Phlebotomy Technician 246RP1900X R6T6W9Z2 TX

Addresses

Primary practice location

5143 Vandelia St Unit 204-2
Dallas, TX 75235-8838

Mailing address

5143 Vandelia St Unit 204-2
Dallas, TX 75235-8838
Phone (978) 809-0417

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

LicenseStateTypeSpecialty
MT122756TXMDMassage Therapist
R6T6W9Z2TXMDPhlebotomy Technician
NA0060025002TXMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1093284762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 VANDELIA ST UNIT 204-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358838",
            "telephone_number": "978-809-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 VANDELIA ST UNIT 204-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358838",
            "telephone_number": "978-809-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ELIZABETH",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LMT, CPT, CNA, CET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0060025002",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT122756",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "R6T6W9Z2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; 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.