Active NPI
Staci Carsten, LMT
- Massage Therapist
- Lead, SD
National Provider Identifier
1093989436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT11720
- Practice address
- 403 Glendale Dr
Lead, SD 57754-1042 - Phone
- (541) 749-8348
- NPI assigned
- Apr 16, 2008
- Last updated
- Sep 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13403 | OR | |
| Massage Therapist | 225700000X | MT11720 | SD | Primary |
Addresses
Primary practice location
403 Glendale Dr
Lead, SD 57754-1042
Mailing address
403 Glendale Dr
Lead, SD 57754-1042
Phone (541) 749-8348
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13403 | OR | MD | Specialist |
| MT11720 | SD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1093989436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 GLENDALE DR",
"city": "LEAD",
"state": "SD",
"postal_code": "577541042",
"telephone_number": "541-749-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 GLENDALE DR",
"city": "LEAD",
"state": "SD",
"postal_code": "577541042",
"telephone_number": "541-749-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSTEN",
"first_name": "STACI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "13403",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SD",
"license": "MT11720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lead, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.