Active NPI
Glenda S Waters, RN, LMBT
- Massage Therapist
- Kings Mountain, NC
National Provider Identifier
1134717085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 02832
- Practice address
- 110 W King St Ste 2
Kings Mountain, NC 28086-3437 - Phone
- (704) 739-3373
- Fax
- (704) 739-3918
- NPI assigned
- Jan 6, 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 | 02832 | NC | Primary |
Addresses
Primary practice location
110 W King St Ste 2
Kings Mountain, NC 28086-3437
Mailing address
107 Country Meadows LN
Kings Mountain, NC 28086-7783
Phone (704) 473-4720
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02832 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1134717085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COUNTRY MEADOWS LN",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280867783",
"telephone_number": "704-473-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W KING ST STE 2",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863437",
"telephone_number": "704-739-3373",
"fax_number": "704-739-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "GLENDA",
"middle_name": "S",
"credential": "RN, LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "02832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
- Brittany Ashton Volovar
- Wal-Mart Stores East LP (Walmart Pharmacy 10-7146)
- Walgreen Co (Walgreens #15110)
- Walgreen Co (Rite Aid)
- Walgreen Co (Walgreens #17863)
- Elizabeth Kay Wells, PT, DPT
- White Oak Manor Kings Mountain Inc (White Oak Manor Kings Mountain)
- Jeneva Jill Wilson, LPN
- Jolie Areeya Young, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.