Active NPI
Amber Danielle Nicole Wills
- Massage Therapist
- Indianapolis, IN
National Provider Identifier
1184454928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT20903252
- Practice address
- 120 E Market St Ste 930
Indianapolis, IN 46204-3265 - Phone
- (317) 724-4011
- NPI assigned
- Aug 6, 2024
- 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 | MT20903252 | IN | Primary |
Addresses
Primary practice location
120 E Market St Ste 930
Indianapolis, IN 46204-3265
Mailing address
3408 Carica Dr
Indianapolis, IN 46203-6504
Phone (317) 658-5677
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 |
|---|---|---|---|
| MT20903252 | IN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bambi's Bliss LLC | Massage Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1184454928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 CARICA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036504",
"telephone_number": "317-658-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E MARKET ST STE 930",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043265",
"telephone_number": "317-724-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "AMBER",
"middle_name": "DANIELLE NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT20903252",
"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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.