Active NPI
Carol Jude Nunamaker, LMT
- Massage Therapist
- Indianapolis, IN
National Provider Identifier
1174097273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT21806413
- Practice address
- 2250 W 86TH St Ste 100
Indianapolis, IN 46260-1965 - Phone
- (317) 876-7826
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | MT21806413 | IN | Primary |
Addresses
Primary practice location
2250 W 86TH St Ste 100
Indianapolis, IN 46260-1965
Mailing address
1945 Lafayette Ave Apt 2C
Lebanon, IN 46052-4071
Phone (815) 353-0012
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT21806413 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1174097273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 LAFAYETTE AVE APT 2C",
"city": "LEBANON",
"state": "IN",
"postal_code": "460524071",
"telephone_number": "815-353-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 W 86TH ST STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601965",
"telephone_number": "317-876-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNAMAKER",
"first_name": "CAROL",
"middle_name": "JUDE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT21806413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.