Active NPI
Tamesha Patrice Carmichael, MT
- Massage Therapist
- Fort Worth, TX
National Provider Identifier
1184012247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 59669
- Practice address
- 3904 Gatwick Cir
2604
Fort Worth, TX 76155-3823 - Phone
- (817) 842-7577
- NPI assigned
- Dec 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 59669 | CA | Primary |
Addresses
Primary practice location
3904 Gatwick Cir
2604
Fort Worth, TX 76155-3823
Mailing address
3813 Sue Cir
Fort Worth, TX 76119-2241
Phone (817) 842-7577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59669 | Other | TX | CAMTC |
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419379200000",
"number": "1184012247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3813 SUE CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761192241",
"telephone_number": "817-842-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 GATWICK CIR",
"address_2": "2604",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761553823",
"telephone_number": "817-842-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "TAMESHA",
"middle_name": "PATRICE",
"name_prefix": "Miss",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-24",
"last_updated": "2014-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "59669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMTC",
"identifier": "59669",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.