Individual provider Active NPI

Nicole Miller, LMT

  • Massage Therapist
  • Saint Marys, WV
National Provider Identifier
1093478810
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
210 2ND St
Saint Marys, WV 26170-1097
Phone
(304) 699-1419
Fax
(304) 586-6424
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 WV Primary

Addresses

Primary practice location

210 2ND St
Saint Marys, WV 26170-1097

Mailing address

4005 8TH Ave
Parkersburg, WV 26101-6507
Phone (304) 212-4999

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.movmindfulness.com Direct Mindfulness, LLC

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1093478810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 8TH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016507",
            "telephone_number": "304-212-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "304-699-1419",
            "fax_number": "304-586-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.movmindfulness.com",
            "affiliation": "Y",
            "endpointDescription": "Company Website",
            "affiliationName": "Mindfulness, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company website",
            "address_1": "210 2nd St",
            "city": "Saint Marys",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261701097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.