Anne Nuttall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8073 Issued in HI

Practice address

71 Banyan Dr.
Suite 115
Hilo, HI 96720

Phone

(808) 969-1044

NPI assigned

Jan 8, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Banyan Massage Hale

  • Massage Therapist
  • Hilo, HI
  • NPI 1245547090
  NPD (past)
• Banyan Massage Hale, LLC

  • Massage Therapist
  • Hilo, HI
  • NPI 1932805389
  NPD (past)

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1154743276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BANYAN DR.",
            "address_2": "SUITE 115",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BANYAN DR.",
            "address_2": "SUITE 115",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-969-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTALL",
        "first_name": "ANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "8073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Novak, A.P.R.N.
• Tricia Arlene Novido, PHD
• NT Therapy, LLC
• Kyle Nugent
• Jennifer R Nunez-Kemp, M.A.
• Crystal Ann O'Brien
• Amanda O'Farrell
• Oahu Pain Care Hilo
• Jason Obenchain
• Melissa Obra, LMT

• Massage Therapist in Hilo, HI
• Providers in Hilo, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.