Individual provider Active NPI

Almonyonna Kenyette Wilson, MASSAGE THERAPIST

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1144937079
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-23194 Issued in AZ
Practice address
3001 W Indian School Rd Ste 312a
Phoenix, AZ 85017-4111
Phone
(480) 750-9588
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-23194 AZ Primary

Addresses

Primary practice location

3001 W Indian School Rd Ste 312a
Phoenix, AZ 85017-4111

Mailing address

7151 W Indian School Rd Apt 2111
Phoenix, AZ 85033-3163
Phone (480) 386-4287

Other names 1

  • Almonyonna Kenyette Wilson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.vagaro.com/parisknightsmassageandhair Direct

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
MT-23194AZMDMassage Therapist

NPI Registry JSON

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": "1144937079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 W INDIAN SCHOOL RD APT 2111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333163",
            "telephone_number": "480-386-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W INDIAN SCHOOL RD STE 312A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174111",
            "telephone_number": "480-750-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALMONYONNA",
        "middle_name": "KENYETTE",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-23194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.vagaro.com/parisknightsmassageandhair",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 W Indian School Rd Ste 312A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850174111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALMONYONNA",
            "last_name": "WILSON",
            "middle_name": "KENYETTE",
            "credential": "MASSAGE THERAPISTS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • 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.