Individual provider Active NPI

Sameka Stafford

  • Massage Therapist
  • Mason, OH
National Provider Identifier
1104467497
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.019441 Issued in OH
Practice address
7588 Central Parke Blvd Ste 303
Mason, OH 45040-6859
Phone
(513) 371-9676
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 33.019441 OH Primary

Addresses

Primary practice location

7588 Central Parke Blvd Ste 303
Mason, OH 45040-6859

Mailing address

7588 Central Parke Blvd Ste 303
Mason, OH 45040-6859
Phone (513) 371-9676

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Healingonetouchatatime@gmail.com

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
33.019441OHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1104467497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD STE 303",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406859",
            "telephone_number": "513-371-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7588 CENTRAL PARKE BLVD STE 303",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406859",
            "telephone_number": "513-371-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.019441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Healingonetouchatatime@gmail.com",
            "affiliation": "N",
            "address_1": "7588 Central Parke Blvd Ste 303",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450406859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.