Simpelo Medi-Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LC0879401 Issued in MO

Legal business name

SIMPELO MEDI-SPA

Practice address

25 Southtowne Dr
Potosi, MO 63664-5729

Phone

(573) 436-1200

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rustico Villanueva Simpelo, M.D.

Title

Owner

Phone

(573) 436-1200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Jane Missey, L.M.T

  • Massage Therapist
  • Potosi, MO
  • NPI 1972774594
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1124290705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-436-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-436-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPELO MEDI-SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMPELO",
        "authorized_official_first_name": "RUSTICO",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-436-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "LC0879401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Sanderson, LCSW
• Ann Schumacher, MD
• Gary Selbert, LPC
• Seth Paskon M.D.
• Rackel Elizabeth Sexton-Alfaro, LCSW
• Simpelo Medical Clinic, P.C.
• Rustico V Simpelo, MD
• Brett T Snodgrass, MD
• Southtowne Imaging Center LLC
• Matthew Scott Standridge, D.D.S.

• Massage Therapist in Potosi, MO
• Providers in Potosi, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.