Individual provider Active NPI

Nicole Kappell, LMT

  • Massage Therapist
  • Kaukauna, WI
National Provider Identifier
1154284099
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12963-146 Issued in WI
Practice address
313 Crooks Ave
Kaukauna, WI 54130-2657
Phone
(920) 462-8129
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 12963-146 WI Primary

Addresses

Primary practice location

313 Crooks Ave
Kaukauna, WI 54130-2657

Mailing address

917 Eden Ave
Kaukauna, WI 54130-2657
Phone (920) 462-8129

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
12963-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Experience LLC Massage Therapist CurrentSince Dec 14, 2025 Accepting new patients

Locations

313 Crooks Ave
Kaukauna, WI 54130
Phone (920) 462-8129

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1154284099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 EDEN AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302657",
            "telephone_number": "920-462-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CROOKS AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302657",
            "telephone_number": "920-462-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPELL",
        "first_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "12963-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.