Nancy Anna McNichol, LMT RN

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60992960 Issued in WA

Practice address

500 W Main St Ste D
Centralia, WA 98531-4252

Phone

(360) 623-1214

Fax

(360) 263-1215

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keysar Center of Massage for the Medically Fragile

  • Specialist
  • Centralia, WA
  • NPI 1649547126
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1144937061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST STE D",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314252",
            "telephone_number": "360-623-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST STE D",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314252",
            "telephone_number": "360-623-1214",
            "fax_number": "360-263-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOL",
        "first_name": "NANCY",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LMT RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60992960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "Y",
            "endpointDescription": "Keysar Center of Massage",
            "affiliationName": "Keysar Center of Massage for the Medically Fragile",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 W Main St Ste D",
            "city": "Centralia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985314252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McKay Professional Services PC
• Cindy L McKinney
• Taylor Marlane McLynne, BS, R-AAC
• Natalie McMillion, BS, AAC
• Rebecca Kathryn McNeil, MA, LPC
• MCP Cooks Hill Wa Opco LLC
• Dorothy Kareen McPherson
• Shanna Meador, LPN
• Julia E. Meaker, LMP
• Myrna R Medford

• Massage Therapist in Centralia, WA
• Providers in Centralia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.