Active NPI
Nicole Miller, LMT
- Massage Therapist
- Saint Marys, WV
National Provider Identifier
1093478810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.